Impacted canine tooth for braces – Wheaton orthodontist and dentist

Impacted canine tooth

There are a few major types of cases that are experienced when a tooth is not erupting.  The impacted canine tooth surgery steps are different based on the severity of bone and tissue coverage.

  1. Tooth is almost erupted and just covered by tissue.  As long as these cases have plenty of keratinized tissue, a simple laser uncovering is all that is needed.
  2. Tooth started to erupt high and there is little to no kerantinized tissue then the flap design must be planned and well executed so as to have a nice long term final result.
  3. Tooth is buried under bone and/or tissue and a facial access is needed, the situation is similar to the above example, where careful flap design is planned.
  4. Tooth is buried under bone and/or tissue and a lingual exposure is planned, then flap design is less crucial.

Video of impacted canine tooth and orthodontic treatment

 Canine tooth exposure – example #1

impacted canine tooth

Tooth that was not fully erupting. Dental laser used to uncover tissue to allow to erupt on own.

Canine tooth exposure – example of #2

Impacted canine tooth surgery – example of #3

Impacted canine tooth surgery – example of #4

Impacted canine tooth surgery on a live patient – example of #4

What is the cost of canine exposure?  Dental codes used?

The cost will vary significantly based on the severity of the case and who is doing the procedure.  Dental codes and normal costs for your zip code can be found on the fair health consumer website.  Some of the more common codes that may be used are D4245 for moving gum tissue, D7280 for removal of both bone and tissue, and D7283 for the placement of a bracket.

How much pain does an impacted canine tooth surgery cause?

This depends entirely on how buried we are talking and what method was used to access the tooth.  Bone does not have a lot of pain nerve fibers so cutting bone may seem more severe, it doesn’t increase the pain levels that much.  Cutting tissue is what causes the most pain after the numbness wears off.  Cutting done with a laser with be less painful than that done with a scalpel.  The wider of area that has to be cut, the more pain you will feel after the numbness wears off.  Prescription pain medication is usually not necessary.  Alternating Tylenol and Advil will allow the patient to manage most of the pain.

Patients can have our Wheaton dental and orthodontic office handle nearly all of these situations at the same location.  Patients looking for a Wheaton orthodontist or Wheaton dentist to handle an impacted canine, give us a call!

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