Fine Orthodontics Before and After
Special Case: Tooth Exposure treatment
When is exposure treatment recommended?
Sometimes a tooth will not come into the gum on its own, remaining trapped in the gums. In other cases, a tooth can grow significantly off-course. In both these instances your orthodontist can intervene to re-direct the teeth.
What does treatment involve?
A gum specialist (periodontist) will make a small ‘window’ in the gum. Following this, a single brace is usually attached. A chain can also be present. This will assist with later connection of the exposed tooth to an Orthodontic anchorage appliance, or other braced teeth. Finally, a series of appointments will ensure treatment is progressing.
Are there risks?
Your periodontist will explain standard risks of the surgical procedure. On the occasion that the exposed tooth will not respond to treatment, your Orthodontist will devise an alternative plan. However, the risk of this happening is generally small.
What are the benefits?
Correcting teeth before they are significantly off-course leads to faster, easier treatment. In some cases an untreated tooth will (1) fail to come through – or (2) come through so far from its intended position that tooth extraction is the only realistic option.
What appointments are needed?
It is important to set a series of appointments in place so we that can start working on the tooth before the ‘window’ heals back over. These appointments will include:
1. Orthodontic consultation
2. Periodontist consultation
3. Book exposure procedure (we will coordinate our appointments to suit the commencement of the creation of your anchorage appliance (or braces)
5. Appointment approximately 3 weeks after exposure to check and possibly place appliance
What can I expect?
Patients can generally expect some localised discomfort. Your gum specialist will provide more information and guidance at your consultation appointment.