Symmetry

Orthodontic construction access

We open access to a retained tooth and bond a bracket so the orthodontist can guide it into the arch.

Surgical exposure gives access to a retained or ectopic tooth for subsequent orthodontic movement - most often upper canines that haven't erupted on their own. The orthodontist and surgeon plan the operation together from a CBCT: the tooth position, traction direction and bracket type. Under local anaesthesia the surgeon opens access to the crown and bonds an orthodontic bracket to the enamel. The orthodontist then gradually guides the tooth into the correct position.

When to come

  • A canine (or other tooth) hasn't erupted on time.
  • A retained tooth is visible on imaging.
  • The orthodontist plans to bring a retained tooth into the arch.
  • An ectopic tooth blocks treatment.
  • Preserving the tooth instead of extraction and implantation.

What's included

Joint CBCT planning

The orthodontist and surgeon together determine the tooth position, traction direction and bracket type.

Anaesthesia

Local anaesthesia fully numbs the operating area.

Access to the tooth crown

The surgeon carefully opens access to the crown of the retained tooth.

Bonding the orthodontic bracket

The bracket is bonded to the enamel - the point of force for future traction.

Shaping the soft-tissue environment

We create the conditions for correct eruption and movement of the tooth.

Handover to the orthodontist

The orthodontist connects the tooth to the archwire with a chain or ligature and guides it into position.

How the visit goes

  1. 1Joint CBCT planning.
  2. 2Anaesthesia.
  3. 3Access to the crown of the retained tooth.
  4. 4Bonding the orthodontic bracket to the enamel.
  5. 5Shaping the soft-tissue environment.
  6. 6Handover to the orthodontist for traction.

Why it matters

  • Saves your own tooth instead of extraction.
  • 3D planning selects a safe traction direction.
  • Precise bracket bonding - predictable movement.
  • Teamwork between surgeon and orthodontist.

FAQ

Why didn't the tooth erupt?
Due to lack of space, a wrong growth direction or dense bone/gum. A CBCT shows the exact cause.
Is it painful?
The operation is under full anaesthesia. Mild discomfort is possible in the first days.
How long does traction take?
Depending on complexity, 3 to 12 months. The tooth is moved gradually and under control.
Can the tooth always be saved?
In most cases, yes. The prognosis depends on the tooth's position and condition, assessed by CBCT.
What does the orthodontist do afterwards?
Connects the bracket to the braces and gradually moves the tooth into its correct place in the arch.

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A retained tooth can usually be guided into the arch rather than extracted. We'll do a CBCT and plan it with the orthodontist.

073 123 25 80

Price

from 5 000 ₴