Impacted Tooth Exposure for Orthodontics
What Is an Impacted Tooth?
An impacted tooth occurs when one or more teeth fail to emerge properly and remain positioned below the gum line. This can happen with any tooth but is most commonly seen with third molars (wisdom teeth) and canine teeth. An impacted tooth can be fully unerupted (completely buried beneath the gums) or partially erupted, where only part of the tooth is visible in the mouth.
Why Do Canine Teeth Become Impacted?
Canine teeth, which are crucial for both function and appearance, sometimes develop in the wrong position within the jaw and gums. This misalignment can cause the tooth to either erupt in the wrong position or fail to erupt at all. Dentists and orthodontists typically detect impacted canines in children between the ages of 10 and 14 years old, during routine dental exams and X-rays.

Treatment Options for Impacted Teeth
There are several surgical options available for treating impacted teeth, depending on the tooth’s position and the overall treatment plan. Your orthodontist will discuss these options with you, which may include:
- Tooth Extraction: If the impacted tooth is in a poor position for orthodontic realignment or is causing problems for adjacent teeth, extraction may be the best option.
- Tooth Exposure: In many cases, exposing the impacted tooth is part of an orthodontic treatment plan. This procedure involves surgically uncovering the tooth, allowing the orthodontist to attach a chain and gradually move the tooth into its correct position using braces or another orthodontic appliance.
What to Expect During Tooth Exposure
If your orthodontist determines that exposing the impacted tooth is the best course of action, a minor surgical procedure will be performed to uncover the tooth. This procedure is typically done under local anaesthesia and involves making a small incision in the gum to expose the tooth. Once the tooth is exposed, the orthodontist can attach a bracket or other orthodontic device to help guide the tooth into its proper position over time.
The Role of Orthodontics in Treating Impacted Teeth
Orthodontic treatment, such as braces, is often necessary to move an impacted tooth into alignment. This process can take some time, usually requiring the patient to wear a fixed orthodontic appliance for at least two years. However, the outcome is a properly aligned tooth that functions correctly and enhances the overall appearance of your smile.
