Extraction Indications of Impacted Teeth

Impacted or Semi impacted Teeth

A tooth must be extracted if;
1. It harms adjacent teeth (resulting in decayed or crooked teeth),
2. It creates focal infection or frequently causes swelling and hardening of maxillary lymph
nodes,
3. It frequently causes gingivitis and trismus (narrowing down of mouth opening due to
muscle spasm),
4. It requires orthodontic therapy,
5. It requires prosthetic intervention,
6. It causes or contributes to pathological formations such as cyst and tumor,
7. It causes pain with unknown etiology,
8. It prevents osseous healing due to being on the fracture line in case of fractured jaws.

tooth in fracture cleft/tooth in the region of an osteotomy line, e.g. prior to orthognathic
surgery (protective measures against fracture cleft infection)

overrupted tooth without antagonist prior to extensive prosthodontic treatment

in situations where it is unclear if a tooth should be preserved, prior to high-quality

conservative and prosthodontic treatment (telescopes, implant treatment)

peri-coronitis (usually impacted/partially impacted teeth)

to prevent a follicular cyst around impacted teeth

if there is the risk of root resorption of adjacent teeth due to direct contact with impacted
teeth

risk of caries in adjacent teeth due to crowded, partially impacted teeth which cannot be
cleaned adequately

resorption of the alveolar bone due to repeated infection around partially impacted teeth

prevention of neuralgic pain

preventive measures against relapse due crowding of anterior teeth

The patient's wishes

(Gaisbauer)

Adams or Arrowhead Clasp (Figure 18)

This is one of the most efficient clasps used for retentive purposes. This clasp brought to the
removable appliance technique the great advantages of extreme security and reliability of
retention on semi-erupted teeth, features which could not always be achieved with the
circumferential clasp. There are several important points to remember about the arrowhead clasp:
1) The arrowhead should not touch the adjacent teeth. 2) The bridge of the clasp should lie
approximately 2mm clear of the buccal or facial surface of the tooth. 3) The arrowhead should
be in contact with the tooth only at the extreme ends. (Figure 19) There is nothing to be gained
by making the bends excessively sharp, as this will only weaken the wire and increase the
possibility of breakag