Call (978) 422-7400

Impacted Canines

Humans have two upper (maxillary) canines and two lower (mandibular) canines. Canine teeth are sometimes referred to as cuspids, fangs, or “eye teeth” because of their direct positioning beneath the eyes. Canine teeth have thicker and more conical roots than incisors and thus have an especially firm connection to the jaw. Canine teeth often have the longest root of all teeth in the human mouth and the last to fully erupt and fall into place; often around age 13.

An impacted tooth essentially means that it is blocked, stuck, or unable to fully erupt and function properly. Third molars (wisdom teeth) most commonly fall victim to impaction, but the upper canine is the second most common tooth to become impacted. Wisdom teeth serve no important function in the mouth and are frequently removed; however, impacted canines are critical to the bite and require treatment for the following reasons:

  • Closing Gaps – Canines are the last of the front teeth to fall into place and therefore close any unsightly gaps between the other upper teeth.
  • First Touch – Canines play a vital role in the “biting” mechanism of the teeth. They touch first when the jaw closes, and guide the other teeth into position.
  • Proper Alignment & Function – Canine teeth are essential to the correct alignment and function of the other teeth on the dental arch. Missing or impacted canines can greatly affect the function and aesthetic appearance of the smile.

What causes canine teeth to become impacted?

There are several main causes for impacted canine teeth:

Extra Teeth – If extra teeth are present, the natural eruption of the canine teeth may be inhibited. The eruption progress of the canine may be directly blocked by an extra tooth or the subsequent overcrowding might leave no room on the dental arch for the canine.

Overcrowding – In some cases, poor alignment of the front teeth can lead to overcrowding. The existing teeth compete for space which means that the canines do not have sufficient room to become functional.

Unusual Growths – On rare occasions, unusual growths on the soft tissue of the gums can restrict the progress of canine teeth, which leads to later impaction.

Early and thorough examination of the teeth can pre-empt problems with impacted canines. It is important for the dentist to document the number teeth present when the patient is around 7 years of age in order to record the presence or absence of canine teeth. The older the patient becomes, the less likely it is that an impacted canine tooth will erupt naturally. If canine teeth are missing or very slow in fully erupting, the dentist can make recommendations for proper treatment.

Oral Examination

The dentist initially conducts a thorough visual examination of the teeth, accompanied by a panorex x-ray and/or individual x-rays. Once the cause of the impaction has been determined, there will be several treatment options available depending upon the age of the patient. The objective is to aid the eruption of the impacted canines, and this can be skillfully done by the dentist, an oral surgeon, or an orthodontist.

What does the treatment of impacted canines involve?

If your mouth is overcrowded for any reason, the dentist may recommend extraction of teeth. The extraction will generally be performed under local anesthetic by an oral surgeon. The un-erupted canine will then be exposed by lifting the gum, and guided into place using a special bracket.

In the case of younger patients, an orthodontic brace may be fitted to create a space on the dental arch for the impacted canine. Surgery for impacted canines usually does not require an overnight stay. Pain medication will be prescribed as necessary, and you’ll be given post treatment advice for your recovery.

Testimonials

I can't say enough good things about Dr. Southworth and his entire staff! My two daughters needed a LOT of dental re-alignment, including headgear and recommendations for extractions and periodontal work. Dr. Southworth was one hundred percent up-front, realistic and supportive through all six years of work! He has such a caring approach with his patients, always putting them at ease with a genuine spirit, and patient, understandable explanations of all treatments and plans. I highly recommend Dr. Southworth and his caring staff for any orthodontic needs.

Karen O.

Search no further, you are fortunate to have found an orthodontist who will give it to you straight( pun intended).
Whatever your needs or goals for your child, Dr. Southworth can assist you in understanding all of your options- including the option to not get braces! He is not a salesperson but an extremely well educated and experienced Orthodontist who will offer you and your child a caring and well supported consultation. His inclusion of your child in this process is perfection.
If you do proceed with braces, a kind and supportive team will make the entire process a walk in the park. I had two children who had very different needs. Both had incredible outcomes.
In terms of value, his pricing cannot be beat. There is a well detailed, comprehensive arrangement laid out before services even begin- this means NO SURPRISES! Payment was easy with an extremely reasonable payment plan.
Having his office so convenient is vital for ongoing care and his team makes it incredibly easy to schedule, interface with your regular dentist, and manage all the intricacies of any insurance you may have. They are a pleasure to deal with and I can honestly say after dealing with them for many years, every interaction was a joy.
Choosing the right fit for your orthodontist is critical and we are so blessed to have Dr. Southworth in our area. Some of my friends were not as fortunate and in the end paid more in time, money and stress across the board.
If you are able to utilize his services, you will be more than pleased with both the process and the outcome!

Mary L., Sterling

View More