Impacted teeth are teeth that are stuck beneath the gums and are not able to grow into the mouth properly. If an impacted tooth is a wisdom tooth, extraction is often the best treatment. However, when canine teeth become impacted, the course of treatment is different. Canine teeth are very important for the bite and are not removed but treated orthodontically or surgically so that they can emerge successfully.
The longer canines stay trapped under the gums, the more their roots develop and fuse with the jaw bone, so it’s very important to treat them as soon as possible. The American Association of Orthodontists recommends that all children by age 7 should be seen by a dental professional for an examination to determine if there are problems with the eruption of any of the adult teeth.
What causes canine impaction?
The canine teeth are the last permanent teeth to come in, emerging at about the age of 11 or 12. Canine teeth may become impacted due to
- Baby teeth that have not fallen out in time
- Unusual growths that block the route of the tooth
- Dental crowding
If an impacted canine is diagnosed, your child’s dentist will recommend further treatment as soon as possible so that the tooth has the best chance to grow into the dental arch on its own. Depending on the growth stage of the affected tooth, an oral surgeon may help the canine tooth erupt into its proper position, or work closely with an orthodontist to complete a procedure called exposure and bonding. If the canines have remained impacted into adulthood, they may have become fused with the bone beneath the gums, making it unlikely that they will ever emerge. In such cases, dental implants or other tooth replacement options can restore the patient’s smile.
Exposure and Bonding for Impacted Canines
First, an orthodontist will use braces to make room for the impacted tooth to move to its proper position. Once the space in the dental arch is ready, the orthodontist will refer the patient to a trusted oral surgeon to have the impacted canine surgically exposed and bracketed. In this simple procedure, the gum on top of the impacted tooth will be lifted to expose the tooth. If there is a baby tooth present, it will be removed. Once the tooth is exposed, the oral surgeon will bond an orthodontic bracket and attach a chain to the tooth. The orthodontist will use this bracket and chain to guide the tooth gently into place.
Impacted Tooth Exposure in San Diego, CA
We provide oral surgery services to patients of all ages, including young children and teens, and have extensive experience treating impacted canine teeth. If your child requires care for impacted canines, we will work with you to create a personalized treatment plan that offers your child the most comfortable experience possible. Please contact The Oral Surgery & Dental Implant Specialists of San Diego to schedule a consultation with Dr. Koshgerian or Dr. Shelton. We look forward to caring for you and your family at our trusted practice.