Concerns About Impacted Teeth: Risks and Surgical Options Explained

I'm very worried?

Last week, I visited the dentist due to gum bleeding while brushing my teeth.
After taking a full-mouth X-ray, it was discovered that I have an impacted tooth on both the left and right lower sides, and the doctor recommended extraction.
I was referred to an oral surgeon, and during today's evaluation for tooth extraction, the surgeon informed me that there is a lesion near my left lower impacted tooth (approximately 3 cm in size, including the wisdom tooth) that may be a benign osteoma.
They suggested performing the procedure under general anesthesia to remove it and also extract the wisdom tooth on the right side.
Could this lesion be an ameloblastoma? Will there be any long-term complications? Additionally, if both impacted teeth on the lower jaw are extracted at once, aside from the inconvenience, will there be any other adverse effects? Thank you.

Zhi Ming, 30~39 year old female. Ask Date: 2007/01/09

Dr. Zeng Guanghui reply Dentistry

The lower left third molar (commonly known as the wisdom tooth) is impacted, and there are lesions surrounding it (possibly a benign osteoma or an ameloblastoma).
X-rays show bone resorption or destruction in the jawbone.
Due to the extensive nature of the surgery, general anesthesia is recommended for the simultaneous extraction of the wisdom tooth and removal of the lesion.
The excised tissue will undergo histopathological examination to accurately diagnose the cause of the lesion.
As long as the patient's overall health is stable and a thorough assessment is conducted by an anesthesiologist, the surgical risks can be minimized, and it is generally considered safe.

Reply Date: 2007/01/09

More Info

When it comes to impacted teeth, particularly wisdom teeth, there are several considerations regarding risks, surgical options, and potential consequences. Your situation involves the discovery of impacted teeth and a possible bone lesion, which adds complexity to the decision-making process.

Understanding Impacted Teeth
Impacted teeth are those that do not fully erupt into the mouth due to various reasons, including lack of space, misalignment, or the presence of other teeth. Wisdom teeth, or third molars, are the most commonly impacted teeth. They can lead to complications such as infection, damage to adjacent teeth, and the development of cysts or tumors.

Surgical Options
In your case, the oral surgeon has recommended extraction of the impacted teeth, particularly since there is a concern about a possible bone lesion adjacent to the left lower impacted tooth. The lesion could potentially be a benign tumor, such as an ameloblastoma, which is a type of odontogenic tumor that arises from the cells involved in tooth development. While these tumors are generally benign, they can cause significant bone destruction if left untreated.

The recommendation for general anesthesia is common for such procedures, especially when multiple teeth are involved, as it allows for a more comfortable experience and better control of the surgical environment. The simultaneous extraction of both impacted teeth can be beneficial as it reduces the need for multiple surgeries and anesthesia sessions.

Risks and Potential Complications
1. Surgical Risks: As with any surgical procedure, there are inherent risks, including bleeding, infection, and adverse reactions to anesthesia. The extraction of impacted teeth can also lead to nerve damage, particularly if the tooth is close to the inferior alveolar nerve, which can result in numbness or tingling in the lower lip or chin.

2. Post-Operative Recovery: After surgery, you may experience swelling, pain, and difficulty opening your mouth. These symptoms are typically manageable with pain medication and ice packs. It's crucial to follow post-operative care instructions to minimize complications.

3. Long-Term Consequences: Removing impacted teeth can lead to changes in your bite and jaw alignment. However, if the teeth are causing problems, the benefits of removal usually outweigh the risks. Additionally, if the lesion is indeed a tumor, its removal is essential to prevent further complications.

4. Potential for Recurrence: If the lesion is a benign tumor, there is a possibility of recurrence, depending on the type. Regular follow-ups with your oral surgeon or dentist will be necessary to monitor for any signs of recurrence.

Impact of Extracting Both Teeth
Extracting both impacted teeth at the same time can be advantageous. It minimizes the overall recovery time and reduces the number of surgical procedures you will need. However, it is essential to consider the following:
- Healing Process: The healing process may be more challenging with two extractions, but it is manageable with proper care.

- Jaw Function: After extraction, your jaw may feel different as it adjusts to the absence of the teeth. This adjustment period varies from person to person.

- Future Dental Work: If you plan on orthodontic treatment or other dental work in the future, having the impacted teeth removed can facilitate better alignment and spacing.

Conclusion
In summary, the extraction of impacted teeth, especially when accompanied by a potential lesion, is a significant decision that should be made in consultation with your oral surgeon. The risks associated with surgery are generally outweighed by the potential complications of leaving impacted teeth and any associated lesions untreated. It is essential to have a thorough discussion with your healthcare provider about the nature of the lesion, the surgical procedure, and the expected outcomes to alleviate any concerns you may have. Regular follow-ups post-surgery will help ensure a smooth recovery and monitor for any complications.

Similar Q&A

Understanding Dental Issues: Impact of Dentin Exposure and Implant Options

1. If the dental drilling reaches the dentin, it can lead to increased sensitivity, pain, and a higher risk of dental caries or pulpitis due to exposure of the underlying tooth structure. 2. If there is insufficient bone density, dental implants may still be possible at our Xiny...

Dr. Lin Qingye reply Dentistry
Hello, passerby: 1. Are you extracting your own teeth? Individual experiences may vary, generally involving sensations such as sensitivity, softness, and pain. 2. Our hospital has the capability to perform dental implant surgeries, but a thorough evaluation must be conducted prio...

Understanding Impacted Teeth: Risks and Surgical Considerations

I have a front tooth that is growing at a 180-degree angle. After an X-ray, the doctor recommended a minor surgery to remove it, as there is a concern that it may continue to grow and emerge from the nasal cavity, necessitating a more extensive surgery for removal. Is it possible...

Dr. Lin Qingye reply Dentistry
Hello, Xiao Pang: If teeth are positioned improperly, they can often affect the surrounding periodontal tissues, so early intervention is necessary. Of course, all surgeries carry varying degrees of risk. Due to the uncertainty regarding the exact depth, angulation, and root cond...

Managing Anxiety Over Impacted Wisdom Teeth: Treatment Options Explained

Hello Doctor, I have been experiencing anxiety in my daily life due to my wisdom teeth. I have two deeply impacted wisdom teeth, and after consulting with a doctor, I was informed that they could be treated under general anesthesia or local anesthesia, but there are also some who...

Dr. Lin Jiayong reply Dentistry
Hello: If the impacted tooth has already affected daily life, and after understanding the risks, complications, and sequelae associated with surgical extraction, you still choose to proceed with the extraction, it is recommended to go directly to the oral surgery outpatient depar...

Understanding Impacted Teeth: Risks and Treatment Options

The first mandibular premolar is a horizontally impacted tooth (the cusps are positioned directly beneath the first molar, forming a V-shape, with the crown resting against the cusp of the first premolar, and the lower edge of the crown slightly exceeding the cusp by about 0.2 mm...

Dr. Huang Tingfang reply Dentistry
Dear Miss Xiao Xiao: Hello! As mentioned, if correction is needed, teeth must be extracted; otherwise, observation is recommended. 2. The likelihood of impacted teeth erupting on their own is very low. 3. It is possible. 4. The chances are much higher than (2)! However, if the to...