Surgical Tooth Exposure: What It Is and Why It’s Sometimes Necessary

Surgical tooth exposure is an oral surgery procedure that is combined with orthodontic treatment to move an impacted tooth into the proper position. An impacted tooth is stuck under the gums, often due to crowding of neighboring teeth blocking it from erupting. 

When this occurs, it is important to see an oral surgeon for expert care, as well as an orthodontist for pre and post-op treatment. Oral Facial Surgery of Orange Park provides surgical tooth exposure and will collaborate with your orthodontist for optimal results. 

Learn more about oral surgery for orthodontics and why it may be necessary and beneficial for your oral health. 

What Is Surgical Tooth Exposure?

When a tooth fails to erupt through the gums it often requires assistance in the form of surgical tooth exposure. During this procedure some of the gum tissue is removed to expose a small portion of tooth material, enough to attach an orthodontic bracket. Braces are then used to gently guide the tooth into the proper position, making room for it along the way. 

Common Reasons a Tooth May Need Surgical Exposure

• Impacted teeth. A tooth that is stuck below the gums without erupting is considered to be impacted. The tooth may be stuck in the jaw or under another tooth. 
• Lack of space. When there is not enough space in the jaw for all of the teeth they may become crowded together, preventing one or more teeth from coming in. 
• Abnormal tooth position. A tooth that is turned or at an odd angle may fail to erupt properly through the gums. 
• Delayed eruption. In some cases there is no apparent reason that a tooth has not erupted. However, intervention is necessary if the tooth doesn’t come in by a certain age. 

Early detection and treatment can prevent damage and reduce the extent of later orthodontic treatment. 

How Surgical Tooth Exposure Supports Orthodontic Treatment

The goal of orthodontic treatment is to correct misalignment of the teeth and bite. When a tooth fails to come in properly, surgical tooth exposure can help guide the tooth into the right position. In most cases braces are placed on the teeth prior to the procedure, then used to exert gentle force on the tooth afterwards to gradually shift it into place. 

What to Expect During the Surgical Tooth Exposure Procedure

• Anesthesia. Local anesthesia, nitrous oxide, or IV sedation may be used for surgical tooth exposure, depending on the situation and the patient’s preference. 
• Exposing the tooth. The surgeon will remove a portion of the gum tissue covering the tooth, leaving enough space for the attachment of an orthodontic bracket. 
• Attaching orthodontics. A bracket will be attached to the tooth and connected to brackets on the neighboring teeth. 

Your safety and comfort are of the utmost importance before, during, and after the procedure. You will be provided with after care instructions for recovery at home. 

Recovery and Aftercare Following Surgical Tooth Exposure

For the first 24-48 hours you may experience some swelling and tenderness. Applying ice to the affected area can help minimize swelling and inflammation. Over the counter pain relievers are typically sufficient for managing discomfort. Eat soft foods for the first few days to a week following your procedure. Rinse with warm salt water a few times daily and avoid drinking from a straw for at least 2 weeks. 

When Surgical Tooth Exposure Is the Right Choice

If you’re wondering whether or not surgical tooth exposure is the right treatment for your needs, consult with a specialist. Oral and facial surgeons determine candidacy based on imaging, tooth position, age, and orthodontic goals. Personalized treatment planning is essential to meeting your specific needs and achieving the desired results. Your oral health and smile are important; trust the experts at Oral Facial Surgery of Orange Park. 

Frequently Asked Questions About Surgical Tooth Exposure

Is surgical tooth exposure painful?

Anesthesia is a helpful tool to keep you comfortable during oral surgery procedures. From local anesthesia to sedation options such as nitrous oxide and IV sedation, we offer plenty of options to meet your needs. 

How long does it take for the tooth to move into place after exposure?

Timelines vary based on tooth position and orthodontic treatment plans, but progress typically begins soon after healing. It may take a few months to a year or more for the tooth to fully shift into the desired position. 

Oral Facial Surgery of Orange Park provides surgical tooth exposure for patients in need of specialized treatment. We collaborate closely with orthodontists to ensure you get the highest quality care with the best outcome. Contact us today to learn more and schedule a consultation.