Southern Georgia Oral Surgery of Hinesville; Canine Exposure

 Canine exposure in preparation for orthodontic treatment
www.southerngeorgiaoms.com
Roger Myers DMD oral surgeon in Hinesville GA


Canine exposures are sometimes viewed as very arduous oral surgical procedures.  The orientation of the canine tooth and the proximity to other oral-facial structures is vitally important.  A Panorex or a PA can be taken in order to assess the position of the tooth, but surgical exposure seems to be the most definitive method of identifying tooth position.  In some cases the maxillary sinus, adjacent teeth and the floor of the nasal cavity are major considerations.  Exposure of the area involves a full mucoperiosteal flap in order to visualize the underlying bone/tooth.  A peripheral ostectomy may be required for increased exposure of the canine tooth.  In order to ligate the tooth with a chain and bracket, bleeding in the surgical site must be controlled.  Etchant is placed on the tooth and cleared with copious irrigation of normal saline.  Next the adhesive is placed and light cured.  Finally, composite material in affixed to the bracket and tooth surface.  It is then light cured and the adhesion of the bracket to the tooth is assessed by pulling on the chain lightly.  Silk suture or wire is then used to attach the chain to ortho-wire/tissue.  The patient is then referred to the orthodontist for continued treatment. 
   This dental surgery procedure was performed by Roger Myers DMD at southern Georgia Oral surgery of Hinesville.  The pediatric patient was placed under sedation as the procedure was performed.