Before or during orthodontic (braces) treatment, your dentist or orthodontist may recommend that you have oral surgery. Depending on your specific needs, your orthodontic oral surgery may include:

  • Removal of a blocking baby tooth
  • Extraction of a tooth to relieve crowding
  • Exposure of a partially or fully impacted tooth
  • Extraction of wisdom teeth
  • Placement of a temporary anchorage device (TAD)

Oral surgery can increase the effectiveness of your orthodontic treatment and help to prevent or relieve discomfort that might otherwise occur. Dr. Stephen Chan and Dr. Aidan Phan have extensive training and experience in working together with orthodontists to provide effective orthodontic oral surgery treatment.

Removal of a blocking baby tooth

In some cases, baby teeth may be slow to fall out, blocking the new permanent tooth as it begins to erupt. When this occurs, the permanent tooth may begin to grow in a crooked or even sideways position.

Removal of the blocking baby tooth can relieve the pressure on surrounding teeth and provide the permanent tooth the space to grow into its proper placement.

Extraction of a tooth to relieve crowding

Crowding can occur for a wide range of reasons, including small mouth or jaw, large or misaligned teeth, or the eruption of wisdom teeth. When teeth become crowded, further complications may arise, including further misalignment, pain or pressure in the mouth or jaw, or even cracking of neighboring teeth.

Your dentist or orthodontist may recommend having one or more teeth extracted to relieve crowding and allow space for your remaining teeth to be guided into proper alignment through orthodontic treatment.

Exposure of a partially or fully impacted tooth

A tooth is considered impacted when it is being prevented from growing into place due to being trapped beneath gum or bone tissue. In many cases, this can be alleviated by having our doctor create a small opening in the gum tissue and bone surrounding the tooth to expose the crown of the tooth. In some cases, our surgeons will be asked to bond a small chain to the impacted tooth to facilitate movement into the correct position. Once exposed, orthodontic treatment can be utilized to guide the tooth into its proper position.

Extraction of wisdom teeth

Your dentist or orthodontist may recommend extraction of your wisdom teeth prior to beginning orthodontic treatment. This can help create jaw space to accommodate straightening of teeth and prevent complications with your orthodontic treatment, such as erupting wisdom teeth crowding surrounding teeth.

Placement of a temporary anchorage device (TAD)

In some cases, an impacted tooth or a tooth out of position requires additional leverage to be guided into proper position. When bands or brackets are insufficient, a temporary anchorage device (TAD) may be recommended.

A TAD includes the placement of a small titanium screw or plate into the jawbone to be used to anchor other orthodontic appliances, such as bands, brackets, or chains. The TAD provides extra points of leverage for your orthodontics, while being more discreet than headgear or other similar devices. Once your teeth have shifted into proper position, the TAD is removed.

Comfort and care

At Contemporary Facial & Oral Surgery, your comfort and safety are our highest priorities. Our team will work with you and your orthodontist to ensure you receive personalized treatment options that will optimize your results and your experience. Sedation dentistry is available.

To learn more about working with our team for your orthodontic oral surgery needs, contact our office.