When a tooth is unable to erupt into function, that’s what we call an impacted tooth. Patients commonly develop problems with teeth getting “stuck” in the back of the jaw. In these scenarios, painful infections can develop among many additional problems.
Commonly Impacted Teeth
Wisdom teeth are, of course, the most extracted tooth because of being impacted. Second is the maxillary cuspid (upper eyetooth). The cuspid tooth is a critical part of the dental arch, playing an important role in a person’s bite. They are strong biting teeth, usually having the longest roots of all.
When a Tooth Cannot Erupt
In cases where eyeteeth won’t erupt spontaneously, a combined effort between an orthodontist and oral surgeon will be in order. Most commonly, braces are necessary (at the very least on the upper arch). A space is then opened, providing room for an impacted tooth to shift into proper position.
Surgical Maneuvers Performed with Dexterity
A simple surgical procedure lifts the gum tissue on top of the impacted tooth, exposing it. A baby tooth can be removed at the same time, when applicable. Once the tooth is exposed, the oral surgeon bonds an orthodontic bracket to it. We attach a miniature gold chain to the bracket and guide the chain back to the arch wire, which is temporarily attached. Most of the time the gum will be returned to its original location and sutured back with only the chain remaining visible as it exits a small hole in the gum.
Exposure and Bracketing of an Impacted Cuspid
Proper Placement of Tooth
Over the next few weeks we initiate the process of moving the tooth into its proper place in the dental arch. This process may take up to a full year to achieve desired results. It’s delicate work that needs to be performed by a professional at Bellflower Oral Facial Surgery & Dental Implant Center.
The entire procedure lasts about 75 minutes for one tooth exposure and bracketing; 105 minutes if treatment is necessary on both sides. The duration may be even shorter if the procedure only requires exposing a tooth without bracketing.
Once the tooth has been moved to its final position in the arch, surrounding gum tissue is evaluated. In some circumstances, minor gum surgery may be required to augment gum tissue over the relocated tooth area, promoting healthy functionality.
Patients commonly don’t require pain medication two to three days after surgery. Some swelling might occur from holding the lip up to view the site. Apply ice packs to minimize.
We’ll discuss everything in detail during your preoperative consultation with Dr. Adamous or Dr. Sonnichsen. Contact Bellflower Oral Facial Surgery & Dental Implant Center today to learn if you can benefit from our surgical dental procedures.