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Geoffrey R. Bauman, DMD, MS | Canine Exposure and Bracketing in Newark

Geoffrey R. Bauman, DMD, MS / Board Certified,  American Board of Periodontology
Fellow, Midwest Implant Institute



Canine Exposure and Bracketing

Sometimes permanent teeth just can't erupt into the mouth.  Usually they are blocked by neighboring teeth that erupted earlier or they are at such a severe angle that they can't erupt.  In this case, the tooth is said to be "impacted".    The most common tooth to be impacted (other than wisdom teeth, which are usually removed), the upper canine tooth, is also one of the most important teeth in the mouth.  This tooth is called the "cornerstone" of the dental arch because it has the longest root of all teeth and it is positioned right at the corner of the mouth where the tooth line turns towards the back teeth.  The teeth on either side of the upper canine teeth are usually very "weak" teeth with much smaller roots.  If a canine doesn't erupt into the bite, the patient will likely have many problem, not only with cosmetics,but also with future adequacy of bone support and the strength of the teeth on that side of the mouth.  Fortunately, through surgical access to and placement of a bracket on the impacted canine tooth, it can usually be erupted into a normal position.   The surgical technique is called "Canine Exposure with Bonded Loop and Chain."   However, it could be done for most any tooth and occasionally there is a need for that other than upper canine teeth.