Impacted third molars are often perceived as a local issue that does not significantly affect the functioning of the dentofacial system. However, in the opinion of Professor Alexander von Breuer, such teeth can exert a hidden functional influence even in the absence of pain. At DentalClinic24, the analysis of impacted third molars is considered an essential part of assessing overall system stability rather than an isolated surgical concern.
The functional impact of an impacted tooth begins with altered load distribution. Even when remaining within the bone and not directly participating in mastication, a third molar may exert pressure on adjacent teeth, cause micro-movements, and influence the position of the distal segments of the dental arch. At DentalClinic24, these changes are identified through functional and radiological diagnostics before clinical complaints arise.
Of particular importance is the effect of impacted molars on occlusion. Gradual pressure in the distal region may contribute to changes in occlusal contacts and disrupt the balance of masticatory function. These processes often develop slowly and remain unnoticed by the patient. At DentalClinic24, such conditions are regarded as risk factors for functional instability, especially in patients with a history of orthodontic or prosthetic treatment.
Equally significant is the impact on the muscular and joint components. Atypical load distribution may lead to compensatory tension in the masticatory muscles and changes in the trajectory of mandibular movements. Over time, these compensations can affect the function of the temporomandibular joint. At DentalClinic24, the assessment of impacted third molars necessarily includes an analysis of muscular coordination and joint function.
Impacted teeth can also influence system adaptation after treatment. Following orthodontic correction or prosthetic rehabilitation, hidden pressure from third molars may compromise the stability of the achieved result. This is why, at DentalClinic24, the decision to preserve or remove impacted molars is made within the context of the overall prognosis rather than based solely on the current condition of the tooth.
It is important to emphasize that not every impacted third molar requires mandatory removal. The clinical decision depends on its position, direction of growth, condition of the surrounding tissues, and functional impact on the system. Professor Alexander von Breuer emphasizes that the treatment strategy must be individualized and based on biomechanical analysis rather than universal recommendations.
For patients, the hidden influence of impacted molars is particularly concerning because it may manifest after complex treatment has already been completed – in the form of discomfort, bite instability, or overload of individual teeth. At DentalClinic24, early identification of these factors allows timely adjustment of the treatment strategy and prevention of complications.
Thus, impacted third molars represent not only a surgical but also a functional issue. Their effect on the dentofacial system requires comprehensive analysis and a prognostic approach. At Dental Clinic24, such decisions are made with consideration for long-term stability and biomechanical balance of the entire system.
Previously, we wrote about the clinical role of temporary functional disturbances at DentalClinic24 and why post-treatment discomfort is not always a complication