The "Cornerstone" Tooth
The upper eyetooth (maxillary cuspid) plays a critical role in your "bite". They are very strong teeth with the longest roots of any human tooth. Because they guide the rest of the teeth into the proper bite, every effort is made to help an impacted cuspid erupt rather than extracting it.
Early Detection & Timeline
Early recognition is paramount for successful treatment. A panoramic x-ray helps determine if adult teeth are blocked.
Age 11-12
If space is opened for eruption by the orthodontist, there is a good chance for success.
Age 13-14
By this age, the impacted eyetooth typically will not erupt by itself, even with the space cleared. Surgical intervention is usually required.
Over 40
There is a much higher chance the tooth is fused in position, often requiring extraction and replacement with a Dental Implant.
The Procedure: Expose & Bracket
Treatment involves a collaborative effort between your orthodontist and our oral surgeons.
Exposure
The surgery to expose and bracket an impacted tooth is a straightforward procedure performed in our office. The oral surgeon will surgically lift the gum to expose the impacted tooth.
Bracketing
We attach a bracket and a small gold chain to the tooth. This chain allows the orthodontist to gently pull the tooth into its proper place over time.
Comfort
For most patients, this is performed using laughing gas and local anesthesia, thoughIV Sedationis available if desired.