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Individual patient circumstances should be evaluated prior to the use of antibiotics to reduce the risks of certain post-extraction complications. There is evidence that use of antibiotics before and/or after impacted wisdom tooth extraction reduces the risk of infections by 66%, and lowers incidence of dry socket by one third.
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
An impacted tooth is one that fails to erupt into the dental arch within the expected developmental window. Because impacted teeth do not erupt, they are retained throughout the individual's lifetime unless extracted or exposed surgically.
Impacted wisdom teeth without communication to the mouth, that have no pathology associated with the tooth, and have not caused tooth resorption on the blocking tooth, rarely have symptoms. [11] The chances of developing pathology on an impacted wisdom tooth that is not communicating with the mouth is approximately 12%. [ 11 ]
The decaying tooth root provides bacteria with an enclosed environment with low oxygen content. Consequently, the obligate and facultative anaerobes present within the oral cavity flourish and outcompete the other bacteria at the site of tooth decay, causing the dental caries to escalate into a mouth infection.
Pericoronitis is inflammation of the soft tissues surrounding the crown of a partially erupted tooth, [1] including the gingiva (gums) and the dental follicle. [2] The soft tissue covering a partially erupted tooth is known as an operculum, an area which can be difficult to access with normal oral hygiene methods.
Dental avulsion is a true dental emergency in which prompt management affects the prognosis of the tooth. [14] Replantation of the tooth within 15 minutes is associated with the best prognosis as periodontal ligament (PDL) cells are still viable.
An ectopic tooth, also known as an impacted tooth, is a tooth that develops in an abnormal position and fails to erupt into its normal location in the oral cavity. [ 1 ] [ 2 ] Ectopic teeth can cause a variety of symptoms, such as pain, swelling, and infection, and they can lead to more serious complications if left untreated.