Wisdom Teeth: Diagnosis

9 Out of 10

Did you know that 9/10 patients have at least one impacted wisdom tooth? It’s the number one reason that we remove them!

32 Teeth, 28 Spaces

Our jaws have space for 28 teeth. That is enough room to accommodate the first and second, but not the third molars (another name for “wisdom teeth”). Because these are the last to show up, there often isn’t enough room for them to grow.

Do You Need More Information On Wisdom Teeth

Call us with any questions or to make an appointment.

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What does it mean if a tooth is impacted?

All of this crowding results in the wisdom teeth being unable to erupt through the gums properly – a condition commonly referred to as “impacted”. Often they grow sideways, backward, and tilted, and, sometimes, they may even remain completely under the surface of the jawbone.

While you may feel nothing out of place, impacted teeth are at a significant risk of becoming infected, fracturing the jaw, or damaging neighboring teeth. For this reason, it is often necessary for Dr. Romanow or Dr. Wentworth to remove them.

A diagram half mouth X-ray with teeth impaction and half digital graphic highlighting impacted teeth
For more information about Diagnosis or to schedule a consultation with Drs. Romanow or Wentworth, call our office in Gaithersburg, MD at Gaithersburg Office Phone Number 301-238-7026.

Classification of Impaction: Terms to Know


  • Mesial Impaction: The most common type of impaction, the tooth is angled forward toward the front of the mouth.
  • Horizontal Impaction: The tooth is lying on its side.
  • Distal Impaction: The tooth is angled toward the rear of the mouth.
  • Vertical Impaction: This indicates an almost-normal orientation, where the tooth is mostly upright.

Tissue Type:

  • Soft Tissue Impaction: The upper portion of the tooth has erupted through the bone but not through the soft (gum) tissue.
  • Partial Bony Impaction: The tooth is still mostly located within the jawbone, although a small portion has pushed through.
  • Full Bony Impaction: The entire tooth still lies within the jawbone.
A representation of a wisdom tooth impacted by soft tissueSoft Tissue
An example of a wisdom tooth with a partial bony impactionPartial Bony
An illustration of a wisdom tooth completely impacted by boneComplete Bony

We want you to know that if you have been told you have an impacted wisdom tooth (or two), you’re not alone! This common condition is one that we treat regularly in our office. As oral surgeons, we are specially trained to handle even the most complex cases of impacted teeth in our office. Please call us with any questions you may have about your wisdom teeth management.