Impacted canine tooth surgery
Treatment or surgery for impacted canine teeth (canine impaction) is one of the most specialized and complex procedures in dentistry, requiring advanced knowledge in maxillofacial surgery and orthodontics.
There are various treatment options for impacted canine teeth, some of which can be performed independently by the oral and maxillofacial surgeon, while in other cases, a collaboration between the orthodontist and the surgeon is necessary.
Impacted teeth can be found in different areas of the mouth. The most common impaction is the third molar (wisdom tooth), followed by the upper canines. In many individuals, the impacted wisdom tooth needs surgical removal. This article will discuss all the aspects and issues related to impacted canine tooth surgery.
An OPG radiograph related to an impacted canine tooth.
This surgery is usually performed under local anesthesia. The surgery and installation of the bracket take about 45 minutes. If both canine teeth are impacted, this time will be longe
Diagnosis of Impacted Teeth
Usually, individuals who visit for an impacted canine tooth have a primary canine in their mouth. After the decay of the primary tooth, they visit the dentist for replacement and discover the impacted canine. Another scenario is when patients visit due to a bulge in the palate or lip. Alternatively, parents or the child’s dentist may notice the absence of the permanent canine tooth’s eruption and refer the patient for treatment to an oral surgeon or orthodontist. Orthodontists generally recommend taking children for a full radiograph at the age of 7 to assess the development of teeth and any abnormalities.
The main cause of an impacted tooth’s development is typically a lack of space in the jaw. To create space, you can consult an orthodontist who may use an expander or palatal separator device to address this issue. For the diagnosis of an impacted tooth, your specialist will refer you for imaging and radiographs. An OPG radiograph is essential. In some cases, additional radiographs such as occlusal, lateral cephalometric, or CBCT may be required for precise localization.
Surgery and Orthodontics for Impacted Canine Teeth
Treatment of Impacted Canine with Orthodontics
To treat an impacted canine, fixed orthodontics can be used. In this case, a simple surgery is required to expose the canine tooth. Then, by placing orthodontic brackets on the tooth, it is connected to the orthodontic wire using a mini chain.
After some time, the patient must visit the doctor again to increase the force applied by the chain using a spring. Through this orthodontic treatment process, the impacted tooth will be guided from a horizontal position to a vertical one in the correct place.
The treatment period typically lasts about one year. At the end of the treatment, you will observe the emergence of the impacted tooth.
Factors Influencing Impacted Canine Treatment
Post-Surgery Care for Impacted Canine Surgery
- Keep the sterile gauze placed by your doctor on the surgical site in your mouth for one hour. Speak with your mouth closed, swallow your saliva, and avoid spitting.
- Use the cold compress given to you at the clinic during the first 24 hours. Apply it to the wound every five minutes, then remove it. For the second 24 hours, rest. On the third day, if swelling occurs, use a warm compress.
- If there is bleeding at the surgical site, moisten a tea bag and place it on the wound. Contact us if needed.
- After the effects of the anesthesia wear off, you may experience pain. In this case, you can use the prescribed painkillers from your doctor.
- On the second day, rinse your mouth with mouthwash or saline solution (diluted salt water) to disinfect it.
- For the first 12 hours after the surgery, consume only liquid and cold foods. Avoid chewing on the area that was operated on for up to one week.
- Refrain from heavy activities, sports, smoking, and using hookah for about one week after the surgery.
- Avoid touching the wound or stitches. If you experience any issues, contact us immediately.
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