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MINOR ORAL SURGICAL PROCEDURE

/MINOR ORAL SURGICAL PROCEDURE
MINOR ORAL SURGICAL PROCEDURE 2018-07-20T19:58:45+00:00

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Impaction

A tooth that is partially erupted or unerupted, beyond the chronological date of eruption, and will not assume a normal relationship with the other teeth and tissue is refered to as wisdom impacted tooth.

Order of Frequency

The teeth that are impacted are generally the mandibular 3rd molars(mandibular wisdom tooth)  but the maxillary molars (maxillary wisdom tooth)  and cuspids can all get impacted. The order of frequency is:

1. Mandibular 3rd molars (lower wisdom tooth)

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  2. Maxillary 3rd molars (upper wisdom tooth).

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3. Maxillary cuspids.

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4. Mandibular bicuspids.

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5. Mandibular cuspids.

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6. Maxillary bicuspids.

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7. Maxillary central incisors.

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8. Maxillary lateral incisors.

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Causes of Impaction (wisdom impacted tooth)

Local Causes

1. Irregularity in the position and pressure of an adjacent tooth.

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2. The density of the overlying or surrounding bone.

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3. Longstanding chronic inflammation, with resultant increase in density of overlying mucous membrane.

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4. Lack of space due to under-developed jaw. Arch length and tooth size discrepancy.

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5. Over-retained primary teeth.

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6.Premature loss of the primary teeth.

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7. Acquired diseases, e.g. necrosis due to infection or abscesses.

8. Inflammatory changes in the bone due to exanthematous diseases in children.

9. Abnormal path of eruption of the tooth, due to traumatic forces, during the eruption period.

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10. Ectopic position of the tooth bud.

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Systemic Causes

  1. Prenatal
  2. Heredity
  3. Misconception
  4. Postnatal
  5. Rickets
  6. Anemia
  7. Congenital syphilis
  8. Tuberculosis
  9. Endocrine dysfunctions
  10. Malnutrition
  11. Rare conditions
  12. Cleidocranial dysostosis
  13. Oxycephaly
  14. Progeria
  15. Achondroplasia
  16. Cleft palate.

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