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How to Treat Impacted Canines: Surgical Exposure & Orthodontic Alignment
The exposure of an impacted canine and bringing it into proper alignment through orthodontics is common in dentistry. Here’s an overview of the process:

1. Diagnosis and Planning
X-rays or CT scans are taken to locate the impacted canine. The impaction could be in the palate (lingual impaction) or in the buccal area (facial impaction).
The orthodontist and oral surgeon will collaborate to determine the best course of action.
Braces may already exist to create space for the impacted canine in the dental arch.
2. Surgical Exposure
Local anaesthesia is administered to numb the area.
The oral surgeon incisions the gum to expose the impacted canine.
Sometimes, gum tissue or bone covering the tooth may be removed to fully expose it.
3. Attachment of Orthodontic Bracket
Once the canine is exposed, a small orthodontic bracket or attachment is placed on the tooth.
A small gold chain is often attached to the bracket. The orthodontist uses this chain to gradually pull the tooth into place.
4. Orthodontic Traction
The orthodontist will apply gentle pressure over time using the attached chain or braces.
This slow process encourages the impacted canine to reach its correct position in the dental arch.
The orthodontist makes Regular adjustments to ensure that the tooth is moving correctly.
5. Completion and Monitoring
Once the canine reaches its proper position, it may take additional time to stabilize.
Retainers or other orthodontic appliances may be used after the braces are removed to maintain alignment.
Risks and Complications
Infection: As with any surgery, there's a risk of infection at the surgical site.
Relapse: Without proper retention, the tooth might move back out of position.
Root resorption: Surrounding teeth may experience root damage due to the movement of the canine
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