Surgical

Management of
Impacted Teeth
Dr. Ingy chehata
Definitions
Definitions
Definitions

• Un-erupted tooth:
Tooth still in the time range
of their eruption with their
roots not fully formed.
Normal phenomena
Definitions
Etiology
Etiology
Etiology
Etiology
Frequency of
Impaction
Frequency of impaction
Indications for
Removal
Indications for Removal
Indications for Removal
Operculectomy
Pericoronitis
Contraindication
for Removal
Contraindication for Removal
Classification of
Impacted Mandibular
3ed molar
 Classification of Impacted Mandibular 3ed molar

According to the available space from the distal surface of

the second molar to the ascending ramus of the
mandible:
Classification of Impacted Mandibular 3ed molar
Classification of Impacted Mandibular 3ed molar
According to the relative depth of the 3ed molar in the bone & in
relation to the occlusal plane of the 2ed molar:
Classification of Impacted Mandibular 3ed molar
Classification of Impacted Mandibular 3ed molar
Classification of Impacted Mandibular 3ed molar
Classification of Impacted Mandibular 3ed molar
Classification of
Impacted Maxillary
3ed molar
Classification of Impacted Maxillary 3ed molar
Classification of Impacted Maxillary 3ed molar
Classification of Impacted Maxillary 3ed molar
Classification of Impacted Maxillary 3ed molar
Classification of Impacted Maxillary 3ed molar
Classification of Impacted Maxillary 3ed molar
Surgical Removal
Surgical Removal
Clinical Evaluation
Clinical Evaluation
Radiographic
Evaluation
Radiographic Evaluation
Radiographic Evaluation
Radiographic Evaluation
Access to the Field
Access to the Field
Access to the Field
 Access to the Field
• Tow incision line pyramidal flap
Access to the Field
Reduction of
Resistance
Bone Removal
Bone Removal
Reduction of
Resistance
Tooth Division
Tooth Division
 Tooth Division
Types of tooth division
Tooth Division
Tooth Division
Tooth Division
Tooth Division
Tooth Division
Tooth Removal
Tooth Removal
Tooth Removal
Tooth Removal
Tooth Removal
Tooth Removal
Debridement of the
Surgical Field
Debridement of the Surgical Field
Debridement of the Surgical Field
Closure of the Field
Closure of the Field
Post Operative Care
Closure of the Field
Classification of
Impacted Canine
Classification of Impacted Canine
Classification of Impacted Canine
Surgical Removal
Surgical Removal
Clinical &
Radiographic
Evaluation
Clinical & Radiographic Evaluation
Clinical & Radiographic Evaluation
Clinical & Radiographic Evaluation
Access to the Field
Access to the Field
Access to the Field
Access to the Field
 Access to the Field
• Reflection of the flap
Reduction of
Resistance
Bone Removal
Bone Removal
Reduction of
Resistance
Tooth Division
Tooth Division
Tooth Removal
Tooth Removal
Tooth Removal
Debridement of the
Surgical Field
Debridement of the Surgical Field
Closure of the Field
Closure of the Field
Post Operative Care
Post Operative Care
COMPLICATIONS
ASSOCIATED WITH
SURGICAL
REMOVAL OF
IMPACTED
TEETH
Intraoperative
Intraoperative Complications
Intraoperative Complications
Intraoperative Complications
Intraoperative Complications
Intraoperative Complications
Intraoperative Complications
Intraoperative Complications
Intraoperative Complications
COMPLICATIONS
ASSOCIATED WITH
SURGICAL
REMOVAL OF
IMPACTED
TEETH
Postoperative Complications
Postoperative Complications