Adult Baby Tooth/ Impacted Tooth Hurting Sinus Cavity?

[larissa]

Hello, I am a 25 year old female in good health. One of my upper canines is a baby tooth. The adult canine tooth is impacted above/ across three teeth: the central incisor, lateral incisor and the baby canine tooth. I had my wisdom teeth removed in 2009 at which time they took the attached xray photo. The surgeon didn't say anything about the impacted canine, it never hurt so I assume the "If it's not broken don't fix it" rule applied there.

Two days ago the three teeth under the impacted canine started to feel sore. Today I woke up and on the side of the impacted canine I felt slight pain and pressure behind my nose, the three teeth are now bothering me non-stop and my bite is completely off.

I am wondering, before I go in and they tell me that they have to surgery my whole face off (just joking), what exactly I am looking at. Based off of my xray, do you think they will have to remove all four teeth and implant three new ones? I don't believe that based off of the position of the impacted canine they would be able to pull it down, not to mention at my age I don't really want to be in public missing teeth for a year so that it comes down.

I suppose my biggest worry is that the impacted canine has somehow shifted into my sinus cavity and will cause greater issues than above, after all, why is it all of a sudden causing me pain?

Any advice is greatly appreciated.

 

[Dr. Daniel]

I don't think there is a reason to worry that the impacted canine will shifted into my sinus cavity. There bigger problem is the cahnce of the canine to inflame and cause periodontal problems for the upper front teeth.
I don't deal with these kind of treatment plans but I am certain there is no need to extract all upper teeth.
For a suitable treatment plan you need to be checked by a spcialist: oral surgeon and maybe an orthodontist (if needed). Possible treatment plans might be: removing the impcated canine surgicly, or removing the baby canine tooth and then drawing orthdonticly the impacted canine towards its place.
But these just pssible plans, I don't know what is the best one for you. See an oral surgeon, gather information, and than decide.

 

[larissa]

Thank you very much, I really appreciate you taking the time to give me a well rounded answer.

It's good to know more before you go, helps to ask the right questions when you get there. I will say though, going to an OS is very stressful for me.

 

[Dr. Daniel]

keep us dated.