Helping Teeth Erupt the Right Way
Sometimes, permanent teeth—especially upper canines—fail to erupt on their own. When this happens, your orthodontist may recommend a minor surgical procedure to uncover the tooth and guide it into place. At our practice, Dr. Sakhai works closely with your orthodontist to perform either an open exposure or expose and bond procedure, depending on your specific needs.
What is Open Exposure?
Open exposure is used when the impacted tooth is close enough to the surface that it can likely erupt on its own once uncovered. Dr. Sakhai gently removes the overlying gum tissue and sometimes a small amount of bone to expose the crown of the tooth. A periodontal dressing may be placed, and the area is left open to allow the tooth to naturally erupt into position over time with orthodontic guidance.
What is Expose and Bond?
Expose and bond is typically done when the tooth is deeper or needs assistance to move into place. After exposing the tooth, Dr. Sakhai bonds a small orthodontic bracket and chain to it. The chain is later connected to your braces or aligner system so your orthodontist can gradually guide the tooth into its correct position over the course of treatment.
Comfortable, Precise Treatment
Both procedures are done with great care and minimal discomfort. They’re often performed with local anesthesia and, if needed, mild sedation. Dr. Sakhai takes special steps to protect surrounding structures and ensure proper healing and integration with your orthodontic plan.
What to Expect After Surgery
- Mild swelling or soreness for a few days
- Over-the-counter pain medication is usually sufficient
- Soft diet recommended for 2–3 days
- Gentle oral hygiene around the surgical site
- Follow-up with your orthodontist to activate the eruption process if a bracket was placed
Working as a Team
Your care doesn’t stop at surgery. Dr. Sakhai communicates closely with your orthodontist throughout the process to ensure the exposed tooth erupts successfully and integrates with your orthodontic treatment plan.
Still have questions?