When to consider management of impacted teeth
If you are experiencing any of the following concerns, schedule a consultation so Dr Truong can perform a thorough assessment and recommend the most predictable solution.
- Delayed eruption of canine teeth beyond expected age
- Asymmetry or bulges in the gum line
- Space loss or crowding identified by the orthodontist
- Radiographic evidence of impaction threatening adjacent roots
Treatment steps
Step 1: Collaborative planning
Radiographs and CT scans map the tooth position. A combined plan is created with the orthodontist.
Step 2: Minimally invasive exposure
Soft tissue and bone are gently removed to expose the crown. A bonded attachment is placed if traction is required.
Step 3: Guided eruption or removal
Orthodontic traction aligns the tooth over several months. If extraction is required, roots are sectioned to avoid adjacent damage.
Step 4: Follow-up and stabilisation
Regular reviews ensure the impacted tooth is tracking correctly or the site is healing without complications.
Recovery timeline
- Minor discomfort and swelling for 48–72 hours.
- Use prescribed mouth rinses to keep the area clean.
- Follow orthodontic instructions carefully to protect attachments.
- Report any detachment or pain immediately for review.
Risks & precautions
- Damage to adjacent tooth roots if the tooth is severely displaced.
- Failure of the tooth to erupt despite traction.
- Need for additional surgery if attachments are lost.
- Post-operative infection or swelling.
Follow-up advice
- Maintain excellent oral hygiene around appliances to prevent decalcification.
Next steps
Book a consultation to review imaging, discuss sedation options, and plan a treatment timeline that aligns with your goals. Second opinions are welcome and referrals are not required for patients seeking advice.
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