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FAQ:  Impacted Teeth

Impacted Incisors Dentistry Ask The Dentist Corinne Scalzitti Question:
Impacted Canines: On a Panorex the impacted canines of my 12 year old (dental age 2-4 years behind) have roots almost fully grown and with crowding are grazing the lateral incisor root.

Looking at the angle, some have said they will straighten out perhaps IF room is available but it is not. One orthodontist says pull canines and another says use an expander. Each puts down the other strongly so I will go for a 3rd opinion.

Meanwhile, my question is: if the canines intersect the root of the lateral incisor, is that instant damage or is there a chance to expose and pull down the canines still? How quickly does root resorption take? ...Visitor from PA

You do need to get a third opinion.

There is an x-ray called a cone beam that will show the orthodontist (and you) exactly how close the roots are to each other. I would not have my child be treated by an orthodontist who decided to extract canines without more information and would be very careful about working with any professional who puts another or another's ideas down.

I would probably start with an oral surgeon who uses this x-ray technology and ask him to recommend an orthodontis.

If you are in Pittsburgh, the dental school is also a good place to begin, but look for an experienced orthodontist, not a student or a new graduate.

Corinne Scalzitti, DMD, MAGD

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