Tooth Exposure & Uncovery Washington DC & Alexandria VA
Tooth Exposure
Washington DC & Alexandria VA
Tooth exposure is a procedure performed when a permanent tooth remains trapped beneath the gum tissue or jawbone and does not erupt normally. It’s most commonly used for impacted canine teeth, although other permanent teeth may also require treatment. Impaction can occur because of overcrowding, an abnormal eruption path, retained baby teeth, or insufficient space in the dental arch. During a tooth exposure procedure, the tooth is uncovered so an orthodontist can guide it into its proper position. Bringing the impacted tooth into alignment can help preserve the appearance, function, and balance of a patient’s smile.
At Precision Periodontics and Implant Dentistry, our specialty-trained periodontists Drs. Zalewsky, Daru, Gupta, and Lakkis have years of experience treating a wide range of stages of gum disease and placing dental implants. To learn more about tooth exposure, our clinic facilities, or to schedule an appointment for a procedure, contact our Alexandria, VA office at (703) 823-2422 or our Washington, D.C. office at (202) 296-3360.
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Causes of Impacted Teeth
Teeth may become impacted for a variety of reasons, including the following:
- Tooth is fused to bone (ankylosis)
- Root dilacerations
- Tooth bud abnormally positioned
- Discrepancies in the arch length/tooth size
- Early loss or prolonged retention of the primary canine
Regardless of the reason for the tooth being impacted, it is important to address the issue as soon as possible. Neglecting to have tooth exposure may result in an increase in pressure on the surrounding teeth, which can cause them to become overloaded or damaged. Tooth exposure will also provide you with a better-aligned and more complete arch, which in turn will improve your ability to chew and bite. An improved overall alignment will also strengthen the structural integrity of your facial structure and provide you with a bright, balanced smile.
Tooth Exposure Expectations
In order to address your impacted tooth or teeth, it will be necessary to create a small window through which your tooth can erupt unimpeded. Prior to beginning the surgical procedure, your periodontist will administer a local anesthetic and/or IV sedation if required. Once you are properly numbed and/or sedated, your periodontist will make a small incision into the tissue in order to uncover the crown. If necessary, bony tissue may be removed to unblock the pathway. Once properly exposed, your periodontist will attach a small bracket to the tooth to put the tooth in alignment with the rest of the arch in the lower and upper jaw. Once this is in place, the procedure will be complete, after which the patient will wait for the tooth to erupt. This typically takes around two to four months, although the time will vary from patient to patient and could take up to nine months depending upon your rate of tooth eruption.
Tooth Exposure Aftercare
Following your tooth exposure procedure, it is common to feel some soreness, but this can typically be managed with over-the-counter pain-relieving medication. For patients with gum or tooth sensitivity, it may be helpful to use a soft-bristle toothbrush during this healing period.
Once you have completed the recovery process, it will not be necessary to follow special aftercare instructions, although it is important to be aware of the reason this procedure was needed in the first place. Continue practicing good daily oral hygiene practices. Brush and floss twice daily, and schedule regular visits to your periodontist to ensure that your teeth receive regular professional cleanings, which will reduce your risk of developing gingivitis or periodontitis. If you follow these best practices, you will enjoy a bright and healthy smile for many years to come.