What are tooth inclusions or teeth included?
Dental inclusions or teeth included, are those dental structures, usually normal in their shape, size, structure and composition, but for various reasons, can not be installed during their eruptive period, in the place that corresponds to the dental arch. This leads to different pathologies, such as inflammation , crowding, collateral damage to other parts of their surroundings, cysts and tumors ...
What causes them?
The factors that cause the inclusions are multiple. Some phenomena, due to the frequency with which they occur, could even be considered, within normality. This would be the case of the cordales included, in which the cause, not always, is the lack of material space for its eruption and more times for its disposal. It could be, of genetic or evolutionary aspects of the species or others, simpler, such as premature extractions, which close spaces. In this case, it can no longer emerge, a dental piece, which remains in the "waiting list", perhaps for orthodontic procedures associated or not with surgeries, since the place that would correspond to it, has decreased.
What is the treatment, your surgery?
The first step, for the treatment of the included teeth, is to perform and evaluate the General and Specialized Clinical History of the patient.
Next the local and / or regional radiology , usually panoramic or even, more precise, for selected cases, Dentoscan, TAC, without forgetting, the traditional Radiology unfolded, that can play, an indispensable role. Through its use, the particularities of the relationships and spaces of the dental piece (s) included are diagnosed. Each patient, once he has been informed of the need for surgery, may be operated under local anesthesia, perhaps better, locoregional, sedation or general anesthesia.
Can the tooth be replaced or is it necessary to resort to an implant?
If the positioning treatments of the included piece are not advised, its substitution could be indicated, by a dental implant, to support the corresponding prosthetic crown, always clear, that there is space and volume of bone necessary and saving and assessing, of course , the air structures and the dental canal, in the upper and / or lower jaw, respectively.
What care should the patient follow after the intervention?
The usual recommendation is the positional of the patient, liquid and / or soft diet, easy to eat and maintain careful oral hygiene, by brushing meticulously and smoothly of the non-operated areas and perform, with more directionality and effectiveness, rinses on all, of the treated areas, with Saline Physiological Serum, Infusions of Chamomile bitter and recently even, of green Tea. Could be assessed, some specific mouthwash in compromised situations, by manifest clinical suspicious or unfavorable. Depending on the particular case of the clinical case, antibiotics, analgesics or anti-inflammatories may also be necessary.
Let's see some radiographic images, so that the reader gets involved in the search of the dental inclusions that appear in them!
Article of Disclosure sent to Top Doctors on August 17, 2014
Professor Dr. Don Francisco Hernández Altemir