Impacted Canines

At Carolinas Center for Oral & Facial Surgery, our skilled surgeons use advanced techniques to efficiently perform impacted canine surgery. This procedure improves dental function, positioning your canines for a healthier, more confident smile.

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How Impacted Teeth Can Affect Your Oral Health 

A tooth is impacted when it cannot come into the dental arch. An impacted tooth may be partially or entirely stuck beneath the gums. Any tooth can be impacted, but wisdom and canine teeth are the most commonly affected. Typically, wisdom teeth are removed regardless of impaction, canine teeth are essential for proper bite alignment and function. An oral surgeon and orthodontist will work together to properly help an impacted canine come into the mouth. 


Reasons for Impaction 

Dental crowding is the most common reason for impaction: when there are too many teeth in one area of the mouth, a new tooth cannot erupt into its proper position. Sometimes, a growth or tumor may block a new tooth’s path.  

An impacted tooth is easily diagnosable with an X-ray or 3D imaging. It is typically discovered at a dental visit, and your dentist can refer you to an oral surgeon for further treatment. 

Impaction may or may not have noticeable symptoms, but signs include:  

  • Red or swollen gums  
  • Tenderness around the tooth site  
  • Bad breath  
  • Jaw pain 

Meet Our Specialists

At Carolinas Center for Oral & Facial Surgery, our expert surgeons deliver top-notch care to enhance every patient’s health and well-being while ensuring an exceptional patient experience. Whether you need treatment for a single impacted canine or a more comprehensive solution, we offer personalized treatment plans designed specifically for you. 

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Impacted Tooth Treatment: Exposure & Bonding

Exposure and bonding is a treatment that involves skilled coordination between an oral surgeon and an orthodontist. First, an orthodontist will prepare the mouth with braces to create a space for the impacted tooth to come in. Once the space is ready, an oral surgeon will expose the tooth and bond an orthodontic bracket to it. The bracket will have a small chain attached that the orthodontist will use to guide the tooth into place as it grows in. Anesthesia keeps patients comfortable during the surgical procedure. The type of anesthesia used, as well as specific details of the procedure, will be discussed during the consultation appointment. Oral surgeons receive specialized training to administer anesthesia safely. 

Anesthesia Options for a Comfortable Procedure

Local Anesthesia

Local anesthesia provides numbness directly where it is administered. It does not affect consciousness, so the patient remains awake while the feelings of discomfort are eliminated. Local anesthesia is commonly used for minor procedures.

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Nitrous Oxide

Also known as laughing gas, nitrous oxide is a mild sedative that the patient inhales to alleviate feelings of anxiety. It does not cause the patient to lose consciousness. It is often used together with local anesthesia.

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IV Sedation

IV sedation is commonly used for moderate to extensive oral or facial surgery procedures. This type of sedation is administered directly into the patient’s vein. Since amnesia (forgetfulness) is a common side effect of the medication, most patients who use IV sedation do not remember their procedure.

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What Our Patients are Saying

  • Highly Recommend to Friends

    Dr. Wessel did a fantastic job removing 2 of my son's teeth and exposing his canine and attaching a bracket, brace and chain in order to move it down into the correct position. He took great care in explaining everything before and after the procedure. He also put my son at ease with the procedure as he was nervous. Dr. Lineberger also helped him relax about the anesthesia. His vast experience put me at ease! The nurses and staff were top notch, too, going out of their way to make sure we were able to be fit in before school starts (especially the front desk scheduler who worked in our consultation within 24 hours of me calling). We will definitely use Dr. Wessel when it's time to remove wisdom teeth and I will highly recommend him to friends.
    - Stratford L.
  • Well Educated

    Dr. Kisella has been my oral surgeon for the past 4 years, I have had a impacted canine removal, bone graft, and dental implant done. Dr. Kisella is very honest and always makes sure you know what to expect, he doesn’t sugar coat and I appreciate that, and he always makes sure you leave his office prepared and with your mind at ease. He’s well educated and knows his stuff, and makes sure to answer any questions you will have in a clear way that you can understand. The office always gets back to you fast when you have questions and is friendly and well informed, I have never found myself to be put on hold when calling in. And if there is a issue I have always been quickly seen within 1-24 hours, even when not a emergency. I wouldn’t trust any other surgeon with my face or mouth.
    - Jordyn B.
  • Amazing Experience

    We had an amazing experience with CCOFS! The front desk staff is friendly and they have many Covid precaution practices in place. Dr. Brian Farrell preformed my sons procedure for an impacted canine tooth. He was able to explain the procedure to my son in a way that was easy to understand and relaxed him before surgery. I 100% would recommend them for any of your oral and facial surgery needs. Even days later, they were calling to check on my boy. You can tell they really care. You will be in great hands!

    - Jen M.
CCOFS Comfort & Recovery

Comfort and Recovery After Your Treatment 

You may experience some bleeding, swelling, discomfort, and soreness following surgery. While your surgeon will provide you with a more definitive list of postoperative instructions, you will likely need to:   

  • Keep gauze on the treated site until it stops bleeding  
  • Avoid vigorous mouth washing  
  • Avoid touching the treated site  
  • Take your prescribed pain medication to alleviate any discomfort  
  • Use ice packs to reduce swelling   
  • Avoid using a straw  
  • Keep the mouth clean  

Additionally, our team will provide instructions on what you should eat and drink. Generally, for two to three days after your procedure, eating softer foods and avoiding very hot, crunchy, or complex food and any food that may get stuck in the surgical site is best.   

Your surgeon’s list of postoperative instructions is crucial for preventing unnecessary complications, so we urge you to follow them carefully. If you have any further questions, consult with your doctor. 

We're Here for You

If you are experiencing pain, discomfort, or functionality issues with your canine tooth as it grows into adulthood, contact our team at Carolinas Center for Oral & Facial Surgery. Our experienced oral and maxillofacial surgeons specialize in optimizing dental health through personalized impacted canine treatment. Contact one of our many oral surgery locations to get started today. 

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