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Impacted wisdom teeth

Dens serotinus retentus (impactus) · Zadržené zuby moudrosti

What it is

Third molars with no room to come through, stuck against the tooth in front or under the gum; infection, decay and cysts can follow.

Symptoms & signs

  • Pain and swelling at the back of the jaw
  • swollen gum flap over the tooth (pericoronitis)
  • bad taste
  • trouble opening the mouth
  • often no symptoms

🚩 Get help if…

  • call 112 / 911 now Swelling under the jaw or neck with trouble breathing or swallowing
  • call 112 / 911 now Cannot open the mouth with fever and facial swelling
  • see a doctor soon Pain, swelling and bad taste around a wisdom tooth
  • see a doctor soon Fever or swollen glands under the jaw

Where it strikes

Medical treatment

  • Panoramic X-ray
  • chlorhexidine rinses and cleaning under the flap
  • antibiotics for spreading infection
  • extraction if repeatedly infected or damaging the neighbouring tooth

Natural & lifestyle

  • Warm salt-water rinses
  • careful brushing at the back
  • soft food during flares

Emerging & experimental

  • Coronectomy to spare the nerve
  • piezo-surgical extraction

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Clove oil on the gum — numbs pain (eugenol); does not treat the tooth anecdotal / traditional
  • Salt-water rinses — reduce bacteria; standard advice early / small studies
  • Oil pulling — anecdotal anecdotal / traditional

ICD codes