Canine Exposure
Your safety and comfort is our priority
What is a Canine Exposure?
Sometimes, an adult tooth—most often an upper canine—doesn’t come in on its own because it’s trapped under the gum or bone. This is called an impacted canine.
Canines are important for a healthy bite and a natural smile, so your orthodontist and oral surgeon may recommend a procedure called canine exposure to help guide the tooth into place.
During this minor surgery, we gently lift the gum and, if needed, remove a small amount of bone to uncover the tooth. In many cases, we attach a small bracket and chain to the tooth so your orthodontist can slowly guide it into the right position with braces.
Potential Complications
In some cases, an impacted canine is positioned in a way that makes it difficult—or even impossible—to bring it into place safely.
For example, the tooth may be fused to the bone (ankylosed), lying horizontally, or causing damage to nearby teeth. There are also situations where the tooth doesn’t respond to orthodontic movement after exposure.
When this happens, your oral surgeon may recommend removing the impacted tooth instead. If extraction is needed, a dental bridge (or other tooth replacement option) can restore your smile’s appearance and function. Your surgeon and orthodontist will discuss all options with you so you can make the choice that’s best for your health and long-term results.
How are Canine Exposures Done?
Anesthesia Options
We’ll help you choose the right anesthesia option based on your needs, level of anxiety, and medical history:
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Local Anesthesia: Numbs only the area around the teeth. You're awake but feel no pain.
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Nitrous Oxide ("Laughing Gas"): Used with local anesthesia to help you relax.
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IV Sedation: You are deeply relaxed and may not remember the procedure.
Procedure
Complex teeth removal removal typically takes 30–60 minutes:
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Preparation: Once anesthesia is administered, the area is completely numb.
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Accessing the Tooth: A small incision is made in the gum. If the tooth is deeply embedded, a portion of surrounding bone might be removed.
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Bracket and Chain: A gold chain is bonded to the tooth using bond and UV light.
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Orthodontist: You meet with your orthodontist to slowly reveal the tooth overtime.
