What is impacted canines?
An impacted canine is a permanent canine tooth that fails to erupt into its normal position. Treatment typically combines surgical exposure of the tooth, bonding of a small orthodontic bracket, and orthodontic traction to gradually guide the tooth into place over several months.
Why canines matter
Canines (cuspids) are the cornerstones of the smile — long, strong roots that anchor the upper arch and guide the way your bite functions. When they fail to erupt on their own, removing them isn’t a good option. Instead, we surgically expose the tooth so your orthodontist can guide it into the correct position with braces or aligners.
About 2% of people have an impacted canine. The issue is usually identified by a dentist or orthodontist between ages 11 and 14, when the tooth should have erupted but hasn’t.
Exposure & bonding
After 3D imaging confirms the tooth’s position, we plan the approach with your orthodontist. The surgery itself uses local anesthesia (sedation is available if preferred). We make a small incision in the gum, expose the crown of the impacted tooth, and bond a tiny orthodontic bracket with a chain or wire to it.
The chain is left visible at the gum line. Your orthodontist then attaches it to your braces or appliance and applies gentle traction over months to gradually pull the tooth into its proper position.
When extraction is necessary
Occasionally an impacted canine cannot be saved — for example, if the root is severely deformed or the crown is in a position that makes guidance impossible. In those cases we discuss alternatives with you and your orthodontist before recommending extraction.
Recovery
Mild discomfort and swelling for 2–3 days. Soft food for a few days. Most patients return to school or work the day after. Your orthodontist will see you about two weeks later to begin the guided eruption process.
Common questions
Will my child be awake during the procedure?
Local anesthesia alone is sufficient for most patients. We also offer nitrous oxide and IV sedation for those who would prefer to be fully relaxed.
How long will it take to bring the tooth into position?
Once exposed, the orthodontic guidance typically takes 6–18 months depending on how far the tooth needs to travel.