Exposure of Impacted Cuspids Or Eye Teeth
The canines are some of the strongest teeth with the longest roots in the whole mouth. During development, a number of patients have canines that fail to erupt into the dental arch because of abnormal growth and crowding. The tooth is considered impacted when it is covered by surrounding soft tissue and bone. Most orthodontists attempt to guide the canines to complete eruption because they play such an important role in a patient’s bite. The canine teeth can be impacted to the cheek side or many times trapped on the roof of the mouth. Patients are often referred to an oral and maxillofacial surgeon for a surgical procedure to correct this problem. The procedure, usually done under IV sedation, consists of making a small incision in the gums and locating the impacted tooth. Bone is removed and a bracket and chain is placed on the tooth. A few weeks following surgery, the orthodontist will start pulling the tooth into the dental arch by placing a small rubber band to the chain.
One of the key factors for this procedure to be successful is early identification of the impacted tooth. Impacted canines that are identified in early have a high chance of erupting with surgical assistance. As the patient get older, the chance of eruption with surgical assistance decreases. The post-operative care with this procedure is very similar to simple tooth extraction. We will go over pre-operative instructions at the consult appointment and go over post-operative instructions with your caregiver the day of surgery.