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Soft tissue impaction: Code D7220

Soft tissue impaction refers to a condition where a tooth, typically a wisdom tooth (third molar), is partially or fully covered by the gum tissue, making it difficult to fully emerge or erupt into its proper position. This type of impaction is different from bony impaction, where the tooth is partially or fully covered by jawbone.

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Here are some key points about soft tissue impaction:

Symptoms:

  • Pain and Discomfort: Soft tissue impaction can cause pain and discomfort, especially when the tooth is attempting to erupt.
  • Swelling: Swelling of the gum tissue around the impacted tooth may occur.
  • Redness: The gum tissue over the impacted tooth may appear red and inflamed.

Commonly Affected Tooth:

Soft tissue impaction often involves wisdom teeth, particularly the lower third molars. These teeth are the last to emerge and can face challenges due to limited space and improper angulation.

Diagnosis:

A dentist or oral surgeon can diagnose soft tissue impaction through clinical examination and dental imaging, such as X-rays or panoramic radiographs.

Treatment Options:

  • Observation: In some cases, if the impacted tooth is not causing pain or other issues, the dentist may choose to monitor it.
  • Extraction: If the impacted tooth causes pain, recurrent infections, or poses a risk to neighboring teeth, extraction may be recommended. The extraction procedure may involve removing a portion of the gum tissue covering the tooth.

Extraction Procedure:

  • Local Anesthesia: Local anesthesia is typically administered to numb the area around the impacted tooth.
  • Incision: In some cases, a small incision may be made in the gum tissue to access the impacted tooth.
  • Removal: The dentist or oral surgeon will carefully remove the gum tissue covering the tooth and extract the impacted tooth.
  • Sutures: After extraction, sutures may be used to close the incision, and post-operative care instructions will be provided.

Post-Operative Care:

Patients are usually advised to follow post-operative care instructions, including taking prescribed medications, avoiding certain foods, and maintaining proper oral hygiene.

Complications:

While complications are rare, there can be risks associated with the extraction procedure, such as infection or damage to nearby structures. Following post-operative care guidelines helps minimize these risks.

 

Here’s a frequently asked questions (FAQ) section about soft tissue impaction:

What is soft tissue impaction?

Soft tissue impaction occurs when a tooth, typically a wisdom tooth, is partially or fully covered by gum tissue, making it difficult to fully emerge into its proper position.

How do I know if I have a soft tissue impaction?

Common symptoms include pain, discomfort, swelling, and redness around the gum area of the impacted tooth. A dentist can diagnose soft tissue impaction through clinical examination and dental imaging.

Which teeth are commonly affected by soft tissue impaction?

Wisdom teeth, especially the lower third molars, are commonly affected by soft tissue impaction. Limited space and improper angulation often contribute to this condition.

Can soft tissue impaction cause pain?

Yes, soft tissue impaction can cause pain and discomfort, especially when the impacted tooth is trying to erupt. The pain may be intermittent or persistent.

How is soft tissue impaction diagnosed?

A dentist or oral surgeon can diagnose soft tissue impaction through a clinical examination and dental imaging, such as X-rays or panoramic radiographs.

What are the treatment options for soft tissue impaction?

Treatment options include observation if the impacted tooth is not causing issues, or extraction if there is pain, recurrent infections, or a risk to neighboring teeth. Extraction may involve removing a portion of the gum tissue covering the tooth.

Is extraction the only solution for soft tissue impaction?

Extraction is a common solution, especially if the impacted tooth is causing pain or complications. However, in some cases, observation may be a viable option if the impacted tooth is not causing problems.

How is the extraction procedure performed for soft tissue impaction?

The extraction procedure involves local anesthesia to numb the area, making a small incision in the gum tissue if necessary, removing the gum tissue covering the tooth, and extracting the impacted tooth. Sutures may be used to close the incision.

What is the recovery process like after extraction?

Patients are advised to follow post-operative care instructions, including taking prescribed medications, avoiding certain foods, and maintaining proper oral hygiene. Sutures, if used, may be removed during a follow-up appointment.

Are there complications associated with soft tissue impaction extraction?

While complications are rare, there can be risks such as infection or damage to nearby structures. Following post-operative care guidelines helps minimize these risks. Patients should contact their dentist if they experience unusual symptoms or complications.

It’s important to consult with a dental professional for a thorough evaluation and personalized treatment plan if you suspect you have a soft tissue impaction or are experiencing symptoms associated with impacted teeth.