20-year-old teeth that cannot fully develop in the mouth remain half-buried. The part where these teeth are located creates an ideal ground for the accumulation of nutrient residues. These residues can cause diseases of the oral cavity and inflammation of the gums. Teeth of this type should be removed if necessary

Since childhood, we all learn that there are 32 teeth in our mouth. We also find out that the backmost teeth in the mouth are 20 teeth. Or a 20-year-old tooth. 20-year-old teeth may not form at all in some people. In some people, when 20-year-old teeth begin to form, they cannot find a place in the mouth and remain embedded in the jawbone.
although the reason why 20-year-old teeth are often buried is not known for sure, the strongest theory is that over time, the jaws gradually become smaller and these teeth are not needed.

Turkey Medicals – 20-year-old teeth, which are the last teeth in the mouth, cannot find a place for themselves because other teeth have already taken their place in the jaws and remain mostly buried. It is defined by dentists as ‘Buried 20-year-old teeth’ or ‘Buried teeth’.


Sometimes at the age of 20, the teeth complete their formation, find a place in the mouth, but do not fully develop. This condition is described by dentists as a ‘Half-buried 20-year-old tooth’.

The part in the mouth where there are 20-year-old teeth that are half buried is the part that is conducive to the accumulation of food fragments ground by functional teeth.

These accumulations are the causes of intraoral diseases. It causes inflammation of the gums.

Buried or semi-buried 20-year-old teeth are removed if necessary so that they do not cause diseases if they cannot have functionality in the mouth.

Buried or half-buried teeth; if it damages neighboring teeth (if it causes caries or perplexity),

If it is the focus of a focal infection in the body and causes frequent swelling and hardening of the lymph nodes under the chin,

If it is often caused by gingivitis and trismus (a decrease in oral patency due to muscle spasm,

For the purpose of orthodontic treatment,

For prosthetic purposes,

If the cyst causes pathological formations such as a tumor or is located inside these formations,

If the cause is unknown, it causes pain,

If a fracture occurs in the jaws and it is thought that it will stay on the fracture line and prevent bone healing, it should be pulled out.

Full buried teeth often do not cause problems, but they should be followed up with a routine radiological examination. From time to time, it can damage the roots of the front teeth or cause other teeth to be crossed by pressing. Another possible problem is that the follicle around the teeth that has been buried for a long time turns into a cyst.

Half-buried teeth are the most common ones that cause problems. The gum that covers part of the tooth and is called a hood forms a pocket in this area, and food residues accumulate in this area that cannot be cleaned. The accumulated food residues also form an ideal basis for the reproduction and settlement of bacteria. As a result, the gums here become inflamed and cause pain and swelling. With the use of antibiotics and painkillers, the event is suppressed only for a while; for this reason, surgical removal of the tooth is required.


Sub-20 years of age other than when considering the extraction of the common early complications, complications in the postoperative period, pain, swelling, trismus, alveolitis, lips and tongue numbness, bleeding, difficulty in swallowing, such as openness and wound parameters were evaluated. 36 male and 32 female patients were included in the study conducted on a total of 68 patients.

A total of 68 34 34 left and right until the day impacted lower 3rd and 20 years after shooting 35 percent from occurring complications were evaluated pain, edema 69 percent, 75 percent, within trismus, at 4 percent loss of sensation in the lip, percent 1% loss of feeling in language, 18 percent of difficulty-percent, 1 percent and 6 percent of secondary haemorrhage showed alveolitis.

As a result, the physician in Turkey should have sufficient knowledge and experience about the condition in which the complication that may occur after the extraction of the lower buried 20-year-old teeth may be.



Pain that occurs after surgery is a kind of reaction of living tissue injured at the site of surgery. After the removal of the buried tooth, there is usually not much pain, and the slight pain that occurs can also be easily controlled with anesthetics and pain medications.


Edema after surgery is a response to bleeding and tissue trauma. If there is no other case, it will be completely resolved at the end of a week.

Trismus (Restriction in opening the mouth):

A 20-year-old female in the lower jaw may have a slight restriction in opening the mouth during surgical procedures. This is due to muscle spasm, contraction that occurs in the chewing muscles due to the inflammatory response. The trismus increases to its maximum in the first two days after surgery and usually regresses completely on the seventh day.

Loss of sensation:

Patients are informed about this by vitamin B12 complex therapy and especially N. it is recommended to apply heat and check the edge of the mandible where the alveolaris inferior is located. Complaints of patients about loss of sensation go away in an average of three weeks.


Bleeding is divided into two, namely during and after surgery on buried teeth. It can have local or systemic causes.

Bleeding can occur due to damage to soft tissue and vascular network, disruption of the clot on the wound surface, some enzymes contained in saliva dissolve the clot. If bleeding occurs, rinsing the mouth and doing the spitting process increases the bleeding. It is correct to put coarse gauze or cotton wool on the place from bleeding. After the gauze is put on, the patient’s front teeth should not come into contact. The introduction of a gland of this size stops or slows down the bleeding. If, despite this practice, the bleeding does not stop, an application should be made to a health center. The presence of secondary bleeding after surgery can be controlled by local buffering.


Infection can sometimes occur after surgery on buried teeth. Causes such as accumulation of nutrient residues at the operation site, inability to adequately supply the injured area with blood flow, spread of infection that exists during surgical application, improper use of antibiotics play a major role in the formation of infection after surgery. Medical treatment is performed.

Fracture of the lower jaw:

It is a very rare complication. Excessive use of force during tooth extraction and the fact that the jawbone is weakened as a result of some ailments of the patient can cause a fracture of the lower jaw. Compared to young patients, the probability of occurrence in elderly patients is higher due to the fact that the flexion in the bones decreases as the age progresses.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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