Wisdom teeth can cause many issues when they grow horizontally instead of vertically. A horizontal wisdom tooth falls under ‘impaction,’ which can lead to pain, infection, and other oral health complications. This post will explore everything about horizontal wisdom teeth, from causes to the best treatment options — and different kinds of impaction to watch out for, shedding light on this dental issue.
What is a Horizontal Wisdom Tooth?

If you’re experiencing jaw pain, discomfort, or swelling in the back of your mouth, you might be dealing with a case of horizontal wisdom tooth impaction. This type of impaction is especially problematic because it often necessitates a more complex surgical procedure. There may also be a longer recovery time due to removing some jawbone during the surgery.
Horizontal impaction is the most challenging and painful scenario regarding wisdom teeth removal. In this form of impaction, the wisdom tooth lies on its side, buried under the gum and leaning against the adjacent molar. Because of its complicated position, addressing it involves an intricate surgical process.
Why Do Wisdom Teeth Grow Horizontally? Causes and Symptoms Explored

Understanding the Causes of Horizontal Wisdom Teeth
Shrinking Jaw Space
One primary reason for horizontal wisdom teeth is the evolutionary change in human jaw size. Over the years, our jaw has become smaller, leaving less room for teeth to grow. This limited space can cause wisdom teeth to emerge in a horizontal direction instead of a natural vertical orientation.
Existing Dental Misalignment
Another contributing factor is the alignment of your existing teeth. If you already have crowded or misaligned teeth, there may not be enough room for your wisdom teeth to grow correctly. The result? A wisdom tooth that grows in sideways, causing discomfort and potential complications.
Identifying the Symptoms of Horizontal Wisdom Teeth
Recognizing the symptoms of horizontally growing wisdom teeth is crucial for timely intervention. Here are some telltale signs:
Jaw Discomfort
One of the first symptoms you might notice is jaw pain. The undue pressure from the impacted wisdom tooth could cause stiffness and discomfort in your jaw, signaling something is amiss.
Swelling and Inflammation
If the tissue around the area starts to become tender, swollen, and inflamed, it’s an indicator that an infection may be present. This inflammation could be a direct result of the horizontally impacted wisdom tooth.
Restricted Mouth Movement
Another clear symptom is difficulty in opening your mouth entirely. The horizontal growth takes up extra space, making it challenging to move your jaw freely.
The Onset of Bad Breath
Persistent bad breath is another symptom that you should not ignore. Halitosis may occur due to an infection around the impacted tooth, requiring prompt attention.
How to Deal with Horizontal Wisdom Teeth?

Before diving into treatment, getting a proper diagnosis from a dental professional is crucial. Through a comprehensive dental exam and X-rays, your dentist can ascertain the position and alignment of your wisdom teeth.
If they find your wisdom tooth growing horizontally, also known as a horizontal impaction, you may need to consider surgical intervention.
Why X-rays Are Essential
X-rays give your dentist an inside look at what’s happening beneath your gums. This advanced imagery can reveal if you have impacted wisdom teeth and how they’re aligned, which is crucial information for determining the best course of action.
What are the Best Ways to Treat a Horizontal Wisdom Tooth?

While surgery might be the best option for most people with horizontal wisdom teeth, non-surgical treatment is sometimes worth considering.
Boost Your Oral Hygiene
Exceptional oral hygiene is the cornerstone for preventing infections and discomfort. Brush twice a day, floss daily, and consider using an antimicrobial mouthwash to keep your mouth clean.
Manage Pain Effectively
You can use over-the-counter pain relievers to cope with pain and swelling temporarily. Remember, these are not long-term solutions but can offer relief while you consult your dentist for the next steps.
Professional Intervention
For many, surgical removal is the go-to solution for horizontal wisdom teeth. Based on the complexity of the impaction, you could undergo a simple extraction or a more involved surgical procedure. Your dental surgeon will guide you through the process to ensure optimal results.
In cases where the harmed wisdom tooth is causing significant crowding or misalignment, orthodontic treatment may be necessary. It can help create space and realign the dental arch for a picture-perfect smile.
Post-Treatment Care: Recovery and Prevention
After a wisdom tooth extraction, focusing on aftercare is crucial for a swift and uneventful recovery.
Stick to Your Dentist’s Guidelines
Your dentist will provide post-operative instructions, including taking prescribed medications, applying cold compresses to the affected area, and eating soft foods.
Keep Up With Dental Check-Ups
Regular dental visits aren’t just for cleanings; they’re opportunities for your dentist to detect any complications related to wisdom teeth and other oral health matters.
The Power of Early Intervention
Keeping tabs on your dental health can allow early identification of any issues with your wisdom teeth, thereby minimizing the risk of complications due to horizontal impaction.
Never Neglect Your Oral Hygiene
A clean mouth is a healthy mouth. Stick to your oral hygiene routine, such as brushing and flossing, and use an antibacterial mouthwash to avoid potential infections.
What are the Other Types of Impacted Wisdom Teeth?

First, what exactly does “impacted” mean when discussing wisdom teeth? Impacted wisdom teeth don’t have enough room to erupt or grow normally. They might get stuck under your gums or jammed against other teeth, leading to oral health issues such as cavities, gum disease, and infections.
Mesial Impaction
Mesial impaction is the most common issue for wisdom teeth. Imagine your wisdom tooth leaning forward like it’s eager to step into the rest of your teeth lineup. This forward angle causes it to collide with the molar in front of it. Depending on how severe the curve is, you may need to get the tooth removed.
Mesial impactions often result in partial eruptions, meaning only part of the tooth emerges from the gum. Keeping the area clean becomes challenging in these cases and opens the door to potential dental issues.
Distal Impaction
While not as common as mesial, distal impactions are like the rebels of the impacted wisdom teeth world. Instead of leaning forward, these teeth angle towards the back of the mouth. The treatment approach depends on the curve of the tooth. If it’s mild, your dentist may take a “wait and see” approach.
However, if the tooth is sharply angled, it’s more likely to become impacted with bone, making extraction necessary for maintaining good oral health.
Vertical Impaction
If you have an impacted wisdom tooth, you might wish it to be a vertical impaction. In this scenario, the tooth is nearly upright, mimicking the orientation of a typical, well-behaved molar. More often than not, these teeth don’t require removal because they can easily fit into the available dental arch.
It’s usually a straightforward procedure requiring just local anesthesia if they need to get removed.
As common as an impacted wisdom tooth is, the type you develop can vary greatly. Knowing the differences between mesial, distal, vertical, and horizontal impactions can help you decide how to proceed.
Frequently Asked Questions
Q: What is a Horizontal Wisdom Tooth?
A: Horizontal wisdom teeth refer to third molars that grow sideways instead of vertically like other teeth. It happens when there’s insufficient space in your jaw for the tooth to emerge correctly. It can lead to various dental issues, such as severe pain, potential infection, and damage to adjacent teeth.
Q: What Causes a Wisdom Tooth to Grow Horizontally?
A: A wisdom tooth grows horizontally because of insufficient jaw space. It can happen due to evolutionary changes where our jaws have become smaller over time, leaving less room for these third molars to emerge correctly. Additionally, genetics play a significant role in determining whether your wisdom teeth will grow correctly or become impacted.
Q: What are the Symptoms of a Horizontal Wisdom Tooth?
A: Common symptoms of horizontal wisdom teeth include persistent pain or discomfort at the back of your mouth, difficulty opening your jaw, swelling, redness, and tenderness of the gums, and sometimes, an unpleasant taste or odor due to infection.
Q: How are Horizontal Wisdom Teeth Treated?
A: The best treatment for horizontal wisdom teeth is extraction. Your dentist will assess the tooth’s position and determine the best approach for removal. Depending on the tooth’s angle and level of impaction, the procedure may be straightforward or need a more complex surgical extraction.
Q: What Are the Potential Complications of Ignoring a Horizontal Wisdom Tooth?
A: Complications of ignoring horizontal wisdom teeth may include severe discomfort, infection of the surrounding gums and tissues, cyst formation, and gum disease. In some cases, they can result in long-term dental issues, emphasizing the importance of timely assessment and extraction when necessary.
Impacted Wisdom Tooth Removal in Tijuana, Mexico
Developing a horizontal wisdom tooth poses many challenges to oral health, causing inflammation, infection, and severe pain, whereas when left untreated, it can lead to more severe complications. Hence, swift diagnosis and treatment are vital for managing this dental issue. Keep up-to-date with your morals by contacting Dr. Mexico, where our experts can help prevent and identify horizontal wisdom teeth early.