A tooth becomes impacted when it cannot erupt normally through the gums. This may happen because there isn't enough room in the dental arch, another tooth blocks its path, or it develops at an unusual angle. Although upper canine teeth are commonly affected, other permanent teeth can also become impacted and may benefit from surgical exposure.

Before treatment, your oral surgeon uses detailed imaging to identify the impacted tooth's position and its relationship to neighboring roots and other structures. During the procedure, the surgeon carefully opens the gum tissue to access the unerupted tooth. When appropriate, a small orthodontic attachment, such as a button and chain, is secured to the tooth so the orthodontist can gradually guide it into the dental arch.

Local anesthesia keeps the surgical area numb, and IV sedation is available for suitable patients who would benefit from additional comfort. Following surgery, the tissues begin healing while the orthodontist manages the tooth's movement over time. Because each impacted tooth presents different challenges, the length and complexity of treatment depend on its position, available space, and response to orthodontic forces.

Explore how exposing impacted teeth in Virginia Beach can help preserve natural teeth and support successful orthodontic treatment.