Orthodontic Surgery in Sarasota
Impacted Canines and Teeth – Removal, Exposure or Chain Bracketing
Adult canines, also known as eye teeth or teeth numbers 6, 11, 22, and 27, are the second most commonly impacted teeth in the mouth, after the third molars (wisdom teeth). These teeth can become impacted, meaning they don’t properly emerge through the gums, often due to insufficient space or misalignment.
Impacted canines may also be in close proximity to important structures, like the nasal floor, maxillary sinus, or the roots of other teeth. This can make extraction or treatment more complex and increase the risk of complications during surgery.
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How Advanced Imaging Helps
To better understand the position of an impacted canine and plan treatment, we use 3D Cone-Beam Computed Tomography (CBCT). This advanced imaging technique provides high-resolution, three-dimensional images that help us clearly see the tooth’s position and any potential issues, such as:
- Root resorption of nearby teeth
- The presence of cysts
- The relationship with nerves or other critical structures
- Any signs of ankylosis (fusion of the tooth to the bone)
Compared to traditional 2D X-rays (like panoramic or periapical images), CBCT gives us a much clearer and more detailed view, helping us plan the surgery with greater accuracy. This reduces the likelihood of complications that could arise from missing important details in the tooth’s position.
Radiation Safety and Our Commitment to Your Health
You may be concerned about radiation exposure from imaging. It’s important to know that we follow strict guidelines to ensure your safety. People are naturally exposed to background radiation every day, from sources like cosmic radiation and even airline flights. These natural exposures carry the same potential health risks as the small doses used in dental imaging.
While there is always some level of risk with any radiation exposure, including the small risk of cancer, the doses used in dental imaging are very low and not at levels that would cause immediate harm. We follow the ALARA principle—“As Low As Reasonably Achievable”—to minimize exposure. This means we only use imaging when necessary, choose the most appropriate type of scan, and ensure the lowest possible dose for the most accurate diagnosis.
In fact, the CBCT scans we use deliver a fraction of the radiation of a medical CT scan. Our office uses a state-of-the-art CBCT scanner that is designed to provide ultra-low radiation doses, ensuring your safety while still providing the detailed imaging we need for successful treatment.
For more detailed information, please feel free to access the following literature below.
References:
- Clinical recommendations regarding use of cone beam computed
tomography in orthodontics. Position statement by the American
Academy of Oral and Maxillofacial Radiology - Benefits of Using CBCT in Bilateral Maxillary Impacted Canines Extraction: A Case Report
- The effect of using CBCT in the diagnosis of canine impaction and its impact on the orthodontic treatment outcome