Orthodontics alone cannot cure severe crowding or misalignment of the teeth. Extraction of teeth, uncovering of buried (impacted) teeth, grafting deficient areas of gums, or repositioning jaws or jaw segments may be needed to achieve orthodontic success. We work in close cooperation with your orthodontist, who will specify which teeth or areas of your jawbone require corrective treatment.
Extraction of Teeth for Orthodontic Reasons
Teeth can become crowded or even impacted because of the lack of space in the jaws. One or more permanent teeth are sometimes strategically extracted to create space to properly align the others. Deciduous teeth (baby teeth) may not loosen and fall out as they should. They may need to be extracted to allow proper eruption of the permanent teeth.
Wisdom teeth can impede your orthodontic treatment and can contribute to crowding after completed treatment. It is best to extract wisdom teeth either before or immediately after orthodontic treatment. Waiting too long to remove the wisdom teeth may result in relapse and crowding, and even the need re-do the orthodontic treatment.
Impacted wisdom teeth crowding adjacent teeth.
Missing or Extra Teeth
Some people fail to develop all the permanent teeth. It may be possible to simply slide neighboring teeth over to close the space orthodontically. Other times, orthodontic space closure is not advisable and the missing tooth space is left open. Dental implants are then placed to fill in for missing teeth
A missing incisor tooth is replaced by a dental implant.
Some people develop more than the normal 32 permanent teeth. These extra teeth, called supernumerary teeth, are usually deformed, and can cause other teeth to become impacted or crowded. A cyst can sometimes form on these impacted teeth, just as it can on wisdom teeth. Early extraction, even as young as age 5-6, is advisable to minimize these risks.
Two extra (supernumary) teeth are present in the lower jaw. One is causing displacement of the teeth roots.
Exposure of Unerupted Teeth
If an impacted tooth is critical to the orthodontic result, rather than extract it, a procedure called expose and bond is done to uncover the tooth and attach (bond) an orthodontic bracket. Your orthodontist attaches springs or elastics to guide that tooth into position.
Multiple impacted teeth on the upper jaw in need of surgical expose and bond procedure.
Corrective Jaw Surgery
Corrective jaw surgery is used to reposition all or part of the upper jaw, lower jaw or chin. This can bring your teeth and jaws into a new position that is more balanced, functional, and healthy.
Before your surgery, orthodontic braces are used in preparation for jaw surgery. After your jaws are repositioned surgically, the orthodontic treatment is completed. Depending on the procedure, corrective jaw surgery may be performed in our office or in a hospital. Incisions are generally hidden inside the mouth.
You don’t have to endure crowded teeth or a disappointing bite. Working alongside your orthodontist, Dr. Stout can help.
"Dr. Stout and his staff were wonderful. They made every visit pleasant and the results were fantastic. I am proud to smile again!"
- Marilyn T.,
"I heard horror stories about having oral surgery with just Novocaine. Not me. I was asleep and I didn't feel a thing!"