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Tooth Exposure Treatment Before and After

Updated: Nov 23, 2023

Fine Orthodontics Before and After

Special Case: Tooth Exposure treatment

Patient’s first visit – Stage 1: Adult canine teeth (circled) are headed in the wrong direction (their correct path indicated by arrow).

After the exposure treatment – Stage 2: Baby teeth have been taken out and exposure treatment has been done – canines have been guided back ‘on course’.

Review – Stage 3: Canines have come in – they are well positioned for straightening with the rest of the teeth

Idealise with braces – Stage 4: Position of all teeth finalised.

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?

Like all invasive procedures, exposure surgery carries some risks. Your periodontist will assess your own individual circumstances and will explain the associated risks so that you are able to make an informed decision regarding whether or not the procedure may be right for you.

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)

4. Exposure

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.

If you want to know whether an exposure procedure might be required for your case, simply book a free* orthodontic assessment and let's talk about the options you have.


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Specialist Orthodontist Input by Dr Martin Fine BDS, MSc, MSc

Dr Martin Fine

Dr Martin Fine

Specialist Orthodontist Dr Martin Fine, BDS, MSc (Orthodontics), is based in Sydney's Eastern Suburbs. With over 30 years' experience in private practice, Dr Fine has expertise working with a wide variety of orthodontic appliances, including braces and Invisalign. He has presented at orthodontic conferences globally, and has taught postgraduate orthodontic students at the University of Sydney. Dr Fine is a member of both the AAO (American Association of Orthodontists) and the ASO (Australian Society of Orthodontists), and is a former president of the Alpha-Omega Dental Society's Sydney Chapter.  In the past, Dr Fine's research has been featured in the Angle Orthodontist journal. Dr Fine is committed to providing outstanding patient care using the latest and most effective techniques. Most recently, Dr Fine has developed and introduced the innovative FineLine clear aligner system, which has been specifically developed to meet the needs of patients at Fine Orthodontics.

Written by Danielle Long

Danielle Long

Danielle Long.png

Danielle Long has been assisting in the creation of beautiful smiles at Fine Orthodontics for over 15 years. Holding graduate qualifications in English and Education (BA/BEd UNSW), Dani brings a unique blend of knowledge to her role. She has worked in many different areas of the practice, having served as both Clinical Assistant and Treatment Coordinator over the years. Continually fascinated by the art and science behind orthodontics, Dani is always keen to share her knowledge in order to enhance patient understanding and experience. Dani focuses on facilitating exceptional patient communication and delivering in-depth orthodontic treatment information. She strives to ensure that every individual embarking on their orthodontic journey with Fine Orthodontics feels informed and supported.

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