The American Association of Orthodontists recommends that all dental patients at the age of seven have a thorough dental examination, including a panorex xray. This early examination helps determine if all adult teeth are present, if there are any extra teeth and if there are any potential issues regarding the eruption of the adult teeth. If a tooth is impacted due to overcrowding of the teeth, it may be decided that orthodontic treatment and/or the extraction of specifically selected teeth may help. However, if the tooth is misplaced or facing in the wrong direction for eruption, it would require a multidisciplinary approach with an Orthodontist and Oral Surgeon.
If your orthodontist or dentist refers you to our doctors regarding your impacted tooth, you will first be seen for a consultation appointment and if required a panorex X-ray will be taken; often we can utilize the X-ray supplied by your dentist or orthodontist. Occasionally, because of the position of the tooth it may be required for a CT Scan to be taken. If the impacted tooth needs surgical intervention an appointment will be made for the tooth to be exposed and for an orthodontic bracket to be bonded to the exposed tooth. After a follow up appointment you will be released back to your orthodontist who will use orthodontic treatment to gently move the tooth into its correct position in the dental arch.
Unfortunately, sometimes the impacted tooth is in a position that would not allow eruption to take place, even with orthodontic treatment. If this is the case a discussion will take place with yourself, the orthodontist, your dentist and one of our oral surgeons to decide the best course of treatment and when, or, if at all anything needs to be done.