Some dental surgery may be needed to help facilitate your orthodontic treatments. Such treatments are known as tooth exposure or guided eruption of impacted teeth. When there is crowding in teeth, some permanent teeth may be unable to come into the mouth and thus are known as impacted teeth. These teeth can be exposed and moved into their normal position through surgical eruption or uncovery. The gum tissue over the impacted tooth is rolled back and then a gold bracket is bonded to the malpositioned tooth. This bracket is then connected to the orthodontic wire to help move this tooth into the proper position. This procedure causes very little discomfort and can be made more comfortable with the use of sedation dentistry.
If your upper or bottom jawbones are misaligned, you may be a candidate for reconstructive jaw surgery otherwise known as orthognathic surgery. This is an invasive and major surgery that is used in severe cases. Please consult with your dentist or orthodontist regarding the need for this treatment. If needed, you will be referred to an oral surgeon who would then perform this procedure in a hospital setting.
Frequently Asked Questions
When a tooth fails to emerge through the gums, it is considered to be an impacted tooth. This commonly occurs in the case of canine teeth. It is important to treat an impacted tooth in order to prevent the improper eruption of nearby teeth, cyst formation, possible infection or other negative changes in the jaw.
The operation takes between 30 minutes and 1 hour. You will normally be able to go home the same day. Once you are asleep or when the area is numb, the surgeon will remove a small piece of gum and bone to uncover the tooth.
If the impacted canine tooth is left untreated, the damage to the adjacent tooth can progress, leaving it unrestorable and vulnerable to tooth loss.