Exposure and Bonding of Ectopic Canines  


What is meant by impacted?

A tooth that is prevented from erupting into its normal functional position by bone, tooth or fibrous tissue.

 

How common is it?

About 2% of the population have an impacted canine. Most often this is an upper canine and occurs on one side only. The majority impact towards the roof of the mouth (palate), but some impact on the cheek side.

 

Why does it happen?

There may be a variety of reasons why the canine impacts. It is thought to be associated with a lack of space for eruption, a small or missing lateral incisor or possibly a family history.

 

What problems can arise if this tooth is left untreated?

The main problem that may occur is damage to the root of the adjacent tooth, presenting as root resorption. Cyst development may also occur.

 

How will the tooth be exposed?

Radiographic (X-ray) images are used to locate the position of the canine. The whole area around the tooth and overlying gum is made numb. The procedure involves temporarily lifting the overlying soft tissues, and surgical removal of soft tissue and bone as appropriate. Stitches are then used to put the raised tissues back in place. A healing plate may be fitted afterwards.

 

Usually the above procedure means a general anaesthetic is necessary. It might be possible to carry out some treatments under local anaesthesia.

 

What is a healing plate?

A small removable brace is sometimes fitted after the operation to protect the exposed canine and prevent the soft tissues from growing back. This will be worn for the first 7 – 10 days after the operation. This should be worn 24 hours a day and only taken out for cleaning.

 

REMEMBER

 

  • The socket may bleed when you get home. Roll up a swab and apply pressure to the area for at least 10 minutes.
  • Keep the mouth as clean as possible -  brush your teeth and the brace after each meal and last thing at night.
  • Start with a soft diet and adjust towards normal as you become more comfortable.
  • Take simple painkillers as required.
  • If the surgeon uses stitches to close the soft tissues these are usually dissolvable, but if not will be removed in a week’s time. You will be given an appointment if this is necessary. They are easily removed.