What is the difference between open exposure and expose and bond?
Open exposure involves uncovering an impacted tooth and allowing it to erupt on its own. In contrast, expose and bond includes attaching a small orthodontic bracket and chain to the tooth, which your orthodontist uses to help guide it into position.
Why would a tooth not erupt on its own?
Impacted teeth can result from overcrowding, unusual positioning, or lack of space. Upper canines are the most commonly affected due to their long eruption path.
Does the procedure hurt?
The procedure is done under local anesthesia, with sedation available if needed. Most patients report only mild soreness afterward, manageable with over-the-counter medications.
What happens after the surgery?
After open exposure, your orthodontist monitors the area and adjusts treatment as the tooth erupts. For expose and bond, the orthodontist will use the bonded chain to guide the tooth into place over time.
What are the risks if I don’t treat an impacted tooth?
Leaving an impacted tooth untreated may cause damage to neighboring teeth, root resorption, cyst formation, or misalignment of your bite.
How long does it take for the tooth to come in?
It depends on the tooth’s position and how your orthodontist adjusts your treatment. It can take several months to fully move into place.
Can any impacted tooth be exposed?
Not always. Dr. Sakhai will evaluate your X-rays and CBCT scans to determine if the tooth is in a safe and predictable position for exposure.
Is a CBCT scan used?
Yes. A 3D CBCT scan is often used to locate the exact position of the impacted tooth and assess the safest approach.