If the impacted canine tooth fails to erupt spontaneously after an orthodontist has applied braces to the upper teeth and created an opening for its growth, our maxillofacial surgeons will perform a simple surgical procedure to expose and bracket the impacted canine tooth. During this procedure, the gum is lifted to expose the impacted tooth. Our oral surgeon will place an orthodontic bracket with a small gold chain attached to it on the exposed tooth. This chain links the bracket to the orthodontic wire. Once the sutures heal, the patient can return to their orthodontist. A rubber band will be attached to the chain and used to pull the impacted canine tooth into its proper location. A CT scan is often used to locate the impacted tooth, identify adjacent teeth, and determine the best surgical approach.
If detected at an early age, a patient may have surgery to expose impacted canine teeth before braces are even applied. Exposing an impacted canine tooth at an early age will promote some eruption to occur before the tooth becomes totally impacted.