Impacted teeth

Impacted teeth: when a permanent tooth does not erupt as expected

An impacted tooth is a tooth that has not erupted normally and may be blocked, angled or positioned away from its expected path. Canines are a common example, but other permanent teeth can also be affected.

Digital scan of teeth being used for orthodontic treatment planning
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Understanding this topic

Impacted teeth: when a permanent tooth does not erupt as expected

An impacted tooth is a tooth that has not erupted normally and may be blocked, angled or positioned away from its expected path. Canines are a common example, but other permanent teeth can also be affected.

Management depends on the patient’s age, tooth position, available space, neighbouring roots and whether bringing the tooth into the arch is appropriate.

Decision points

What to notice before deciding

Imaging

Radiographs or 3D imaging may be needed to locate the tooth and assess nearby structures.

Space creation

The arch may need space before an impacted tooth can be guided into position.

Team coordination

Some cases involve orthodontic and surgical or dental collaboration.

Different options

Observation, exposure, orthodontic traction or other approaches may be discussed depending on the diagnosis.

Questions about this topic

Common questions about Impacted teeth

How do I know if a tooth is impacted?

Delayed eruption, asymmetry or unusual eruption patterns can prompt assessment, but imaging is often needed.

Are impacted canines urgent?

Timing can matter because tooth position and nearby roots may change the plan.

Can braces bring down an impacted tooth?

In selected cases orthodontic traction is used after space and access are planned.

References

Sources and professional context for this guide