Impacted and Crowded Teeth
This service combines surgical and orthodontic expertise to address teeth that are blocked (impacted) or misaligned due to lack of space (crowding) in patients undergoing braces or clear-aligner therapy. By exposing, repositioning, or selectively removing problematic teeth—and creating room for proper alignment—this comprehensive approach ensures your orthodontic treatment proceeds smoothly and delivers the best functional and aesthetic outcome.
When you choose Electric City Dentistry for Management of Impacted & Crowded Teeth in Orthodontic Treatment, you can generally expect the following steps:
Initial Consultation & Orthodontic Assessment: Review of your dental and medical history, orthodontic goals, and any prior treatment. Examination of tooth alignment, crowding severity, and signs of impaction.
Advanced Diagnostic Imaging: Panoramic X-rays and 3D CBCT to locate impacted teeth, assess root positions, and measure arch space.
Multidisciplinary Treatment Planning: Collaborative discussion between your orthodontist and oral surgeon to determine whether to expose, bond, or extract impacted/crowded teeth. Development of a phased plan that integrates surgical procedures with your braces or aligner schedule.
Patient Education & Informed Consent: Clear explanation of each surgical step, potential risks and benefits, and how it fits into your overall orthodontic timeline. Opportunity to ask questions and receive personalized guidance.
Surgical Exposure & Attachment Placement: Under local anesthesia (with optional nitrous oxide or IV sedation), a small gum flap is created to uncover the impacted tooth. A bonded orthodontic attachment (bracket or gold chain) is secured to the tooth to enable gradual traction into the arch.
Selective Extraction (if Indicated): Removal of non-functional or obstructive teeth (such as primary teeth or severely malpositioned permanents) to free up space and simplify alignment.
Orthodontic Traction & Alignment: Your orthodontist applies gentle force via braces or aligners to guide the exposed tooth into its proper position over several weeks or months. Periodic adjustments to wires or aligner sequences ensure steady progress.
Space Creation & Arch Development: Use of expanders, separators, or interproximal reduction (slenderizing) to create the necessary room for all teeth to align comfortably. Monitoring of arch form and bite relationships throughout treatment.
Post-Surgical Care & Monitoring: Follow-up visits to check healing of surgical sites, adjust attachments, and manage any discomfort with prescribed analgesics and home-care instructions (ice, soft diet, gentle rinses).
Removal of Attachments & Finishing: Once impacted teeth are fully integrated into the arch, the bonded attachments are removed. Final orthodontic detailing ensures optimal bite function and smile aesthetics.
Retention & Long-Term Maintenance: Fitting of retainers or night guards to preserve your newly aligned teeth. Periodic check-ups to monitor stability and address any relapse early.
What to Expect:
At Electric City Dentistry, our expert team of doctors, dentists, anesthesiologists, and hygienists collaborate closely to tailor every phase of impacted and crowded-tooth management to your unique case—helping you achieve a healthy, harmonious smile with confidence and comfort. Ready to take the next step in your orthodontic journey? Contact us today to schedule your evaluation.
Advantages:
Alleviates discomfort and misalignment
Reduces risk of infection or cysts
Makes room for proper tooth eruption
Aftercare:
Expect mild swelling. Use ice packs, avoid hard foods, and follow hygiene instructions. A saltwater rinse may be recommended after 24 hours.