Treatment options for impacted teeth: an integrative review




Oral surgery; Orthodontist; Third molar; Dental extraction.


Tooth impaction is a common dental condition ranging from 0.8 to 3.6% of the general population. A tooth normally erupts when one-half to three-quarters of its final root length has developed. Impaction is usually diagnosed well after the tooth should have erupted. In this context, this article aims to review the literature about available treatments for impacted elements. For the construction of this article, a bibliographical survey was carried out in the databases SciVerse Scopus, Scientific Electronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) and ScienceDirect, with the help of the Mendeley reference manager. The articles were contemplated between the years 2000 to 2022. To perform a differential diagnosis for an impacted tooth, professionals must perform a clinical assessment of the patient's condition. Informed consent should address treatment options for impacted teeth and complications associated with treatment. Four treatment options for managing impacted teeth have been described: observation, intervention, relocation, and extraction. There is some interaction between treatment options, and some options are only viable for a specific period of time. Before the dentist can recommend a suitable treatment plan for a patient, the dentist must perform a clear clinical and radiographic evaluation of the patient's mouth, review the pathologic ramifications resulting from impacted teeth, discuss treatment complications with the patient, and address concerns. expressed by the patient.


Aiello, D., Quinzi, V., Distefano, M., Figliuzzi, M. M., Scirè Scappuzzo, G., & Paduano, S. (2022). Timing and treatment sequence in the management of odontomas associated with impacted teeth: A literature review and report of two cases. European Journal of Paediatric Dentistry, 23(3), 217–224.

Consolaro, A., & Cardoso, M. de A. (2019). Impacted teeth: Their place is in the dental arch. Dental Press Journal of Orthodontics, 24(6), 20–26.

De Sousa, A. S., Neto, J. V.-, & Normando, D. (2021). The prediction of impacted versus spontaneously erupted mandibular third molars. Progress in Orthodontics, 22(1), 29.

Frank, C. A. (2000). Treatment options for impacted teeth. Journal of the American Dental Association, 131(5), 623–632.

Ghaeminia, H., Nienhuijs, M. El, Toedtling, V., Perry, J., Tummers, M., Hoppenreijs, T. J., Van der Sanden, W. J., & Mettes, T. G. (2020). Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. The Cochrane Database of Systematic Reviews, 5(5), CD003879.

Grybienė, V., Juozėnaitė, D., & Kubiliūtė, K. (2019). Diagnostic methods and treatment strategies of impacted maxillary canines: A literature review. Stomatologija, 21(1), 3–12.

Kaczor-Urbanowicz, K., Zadurska, M., & Czochrowska, E. (2016). Impacted Teeth: An Interdisciplinary Perspective. Advances in Clinical and Experimental Medicine : Official Organ Wroclaw Medical University, 25(3), 575–585.

Kiencało, A., Jamka-Kasprzyk, M., Panaś, M., & Wyszyńska-Pawelec, G. (2021). Analysis of complications after the removal of 339 third molars. Dental and Medical Problems, 58(1), 75–80.

Mettes, T. D. G., Ghaeminia, H., Nienhuijs, M. E. L., Perry, J., van der Sanden, W. J. M., & Plasschaert, A. (2012). Surgical removal versus retention for the management of asymptomatic impacted wisdom teeth. The Cochrane Database of Systematic Reviews, 6, CD003879.

Mettes, T. G., Nienhuijs, M. E. L., van der Sanden, W. J. M., Verdonschot, E. H., & Plasschaert, A. J. M. (2005). Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults. The Cochrane Database of Systematic Reviews, 2, CD003879.

Migliario, M., Greco Lucchina, A., Rocchetti, V., & Renò, F. (2019). Laser surgical approach to impacted maxillary incisors: case series and brief review. European Review for Medical and Pharmacological Sciences, 23(22), 9691–9696.

Pereira, A., Shitsuka, D., Parreira, F., & Shitsuka, R. (2018). Método Qualitativo, Quantitativo ou Quali-Quanti. In Metodologia da Pesquisa Científica. Acesso em: 28 março 2020.

Stabryła, J., Plakwicz, P., Kukuła, K., Zadurska, M., & Czochrowska, E. M. (2021). Comparisons of different treatment methods and their outcomes for impacted maxillary and mandibular canines: A retrospective study. Journal of the American Dental Association (1939), 152(11), 919–926.

Tagliatesta, L., Arcari, M., Porcheddu, L., Rovelli, G., Ibrahim, R. S., Ibrahim, A., Peroni, G., Guerri, F., Moscone, S., Rossi, A. L., Ciarcià, G., Bazzini, E., Tagliatesta, C., & Sardella, A. (2022). Protocol for autotransplantation of impacted canines in guided surgery: CAD/CAM and magneto-dynamic technology. Dental Cadmos, 90(10), 742–754.

van der Sanden, W. J. M., Mettes, D. G., Plasschaert, A. J. M., Grol, R. P. T. M., Mulder, J., & Verdonschot, E. H. (2005). Effectiveness of clinical practice guideline implementation on lower third molar management in improving clinical decision-making: a randomized controlled trial. European Journal of Oral Sciences, 113(5), 349–354.



How to Cite

OLIVEIRA NETO, J. L. de; AFONSO, Áquila de O. .; RIBEIRO, K. L. G. .; PEREIRA, A. de L. .; GALISSE , S. S.; SILVA, P. L. de S. .; BELIZARIO, M. F. D.; OLIVEIRA, M. F. de .; CINTRA, T. do P.; OLIVEIRA , M. J. de . Treatment options for impacted teeth: an integrative review. Research, Society and Development, [S. l.], v. 12, n. 2, p. e12212239985, 2023. DOI: 10.33448/rsd-v12i2.39985. Disponível em: Acesso em: 20 may. 2024.



Health Sciences