Bonding & Bracketing


When there is insufficient room in the mouth for adult teeth to erupt, they may become impacted.  The most common adult teeth to become impacted, excluding the third molars (wisdom teeth), are the upper canines.  Other commonly impacted teeth are the upper front incisors and the lower premolars.  Most impacted canines, incisors, and premolars will not erupt into the mouth without assistance.  In these circumstances, the Oral and Maxillofacial Surgeon will work in accordance with a plan from the Orthodontist in a combined effort to direct the malpositioned tooth into the desired position.  The Oral Maxillofacial Surgeon will expose the impacted tooth in order to place a bracket and chain on the tooth.  This bracket and chain allows the Orthodontist to place a force on the impacted tooth in an attempt to direct the tooth into the ideal position.  


Please see the video link below for further information provided by the American Association of Oral and Maxillofacial Surgeons (AAOMS) regarding Having Impacted Canine Surgery: