Orthodontic and Surgical Considerations for Treating Impacted Teeth

Abstract

Impacted teeth occur in a significant number of patients. Their management requires coordinated efforts of orthodontists and oral and maxillofacial surgeons. Specifically, optimal results require a prompt orthodontic diagnosis and treatment plan with execution of either closed or open exposure of impacted teeth by the oral and maxillofacial surgeon. Failure to consider orthodontic mechanics and proper surgical technique can lead to suboptimal results. Thus, orthodontist/oral and maxillofacial surgeon communication is essential for success and patient education and shared decision-making is mandatory before initiating treatment.

Keywords: Closed versus open surgical exposure; Cone beam CT; Oral and maxillofacial surgeon; Orthodontist; Tooth impactions; Treatment planning.