Prior to surgery, an Orthodontist using braces will create a space that the impacted canine can grow into. If a baby tooth is present, it will be extracted. The Surgeon then lifts the gum to expose the canine tooth. Once exposed, the Surgeon will place an orthodontic bracket on the exposed tooth, and attach a chain to it. The gum will either be left open with the tooth exposed, or closed around the chain depending on how far the tooth needs to travel to erupt. This chain can then be used by the Orthodontist to place traction (pull) on the chain to help the tooth erupt.
Usually, a patient returns to their Orthodontist 10-14 days after surgery to attach a rubber band to the chain to provide an eruptive pulling force. The process of guiding the tooth into place is a slow process, and can take up to a year to accomplish. The gum around the tooth will be carefully monitored to ensure it is healthy and capable of a lifetime of chewing and brushing. Sometimes additional gum surgery is required to add tissue to the gum to ensure proper function over time.
The preparation of your mouth before the placement of a prosthesis is referred to as pre-prosthetic surgery.
Some patients require minor oral surgical procedures before receiving a partial or complete denture, in order to ensure the maximum level of comfort. A denture sits on the bone ridge, so it is very important that the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone might be left sharp and uneven. For the best fit of a denture, the bone might need to be smoothed out or reshaped. Occasionally, excess bone would need to be removed prior to denture insertion.
One or more of the following procedures might need to be performed in order to prepare your mouth for a denture:
Bone smoothing and reshaping
Removal of excess bone
Bone ridge reduction
Removal of excess gum tissue
Exposure of impacted teeth