Impacted Tooth Removal I understand that an impacted tooth is one that begins to erupt in the wrong direction and is blocked by another tooth or dense bone. I understand that an infection can start around the crown of the tooth and may spread to surrounding tissues. Pressure form impacted teeth against other teeth may injure the roots of good teeth, push them out of position, or create food trap resulting in decay of good teeth. A cyst may form around an impaction, destroying bone as well as damaging other teeth.
Impacted teeth may cause no symptoms but may still need to be removed. Removing such teeth prior to problems may prevent many complications. If an infection has begun it must be treated first. If a patient is older or has any disease such as heart problems, high blood pressure, diabetes, or others, risks and complications can be serious. As time goes by, roots of a lower impacted tooth may come close to the nerve in the lower jaw, and the nerve may be injured during removal of the impaction.
Recommended treatment is removal of the impaction. Risks of treatment include, but are not limited to:
I understand the recommended treatment, the fee(s) involved, the risks of such treatment, any alternatives and risks of these alternatives, including the consequences of doing nothing. I had all of my questions answered, and have not been offered any guarantees.
Teeth #:____________________________Patient Signature_______________________