Dr.Prathima Adusumilli treats impacted canines at Coral Orthodontics. We work with a team of Oral and maxillofacial Surgeons and Periodontist to accomplish the best treatment outcome for bringing the impacted canines into the arch.

Introduction about Canine Impactions:
When a tooth fails to emerge through the gums, it is considered to be an impacted tooth. The most commonly impacted teeth are wisdom teeth, followed by the maxillary canines (upper eye 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. In order to determine the correct treatment for you,your orthodontist will examine your teeth and radiographs to determine the position of the impacted tooth as well as the condition of your gums.

Treatment techniques:
Depending on the location, there are different methods of accomplishing the surgical exposure of your tooth.

1. If the impacted canine is close to the palate:

a. First option is for your Orthodontist treatment plans for the oral surgeon or the Periodontist to expose the tooth in order to allow it to erupt on its own. Once the surgery is completed,a protective dressing is placed over the surgical site while it heals. This method will allow the canine tooth to emerge until it is at the level of the adjacent teeth, after which the teeth can be aligned with braces.
b. Second option is for your Orthodontist to expose the tooth and then attach an orthodontic bracket to it either at the time of surgery or shortly after in order to help guide the tooth to the level of the adjacent teeth.

2.If the impacted canine is close to the outer, facial, aspect of the upper jaw, there are three different treatment options, depending on the exact position of the tooth and the condition of your gums:

a. First option, your orthodontist will expose the tooth and reposition your gums so as to leave some of the crown of the tooth exposed. He or she will then attach an orthodontic bracket to the tooth and use it to guide the tooth to its proper position.
b. The second option is called a closed technique because, after the orthodontist gets the tooth exposed, he or she will attach a bracket to it and then replace your gums back to their original position. Only the orthodontic wire will be visible through your gums while the tooth is guided to its proper position. Once your orthodontic treatment is completed, minor recontouring of your gums may be necessary.
c. In the third method, your orthodontist will create a window through the gums to the surface of the tooth. He or she will then attach an orthodontic bracket to the tooth to help guide it to its proper position. Following orthodontic treatment, your periodontist may place a gum graft at the neck of the tooth in order to replace any missing gum tissue.

Surgically exposing and aligning impacted canines can prevent further damage to your dentition. In conjunction with subsequent orthodontic treatment, it can result in a more aesthetically pleasing appearance.