My 12 year old son has a canine tooth (upper left side) which is positioned over two teeth back from where it needs it descend into place. His baby canine (tooth H) has not fallen out. We are considering having the baby canine extracted and the adult canine exposed and bracketed. What is the liklihood that the adult canine can traverse two teeth (using brackets and orthodontia) in order to pull and drop it into place? Is this risking damage to the roots of the canine or the other teeth? Is moving the adult canine into place over such a "far" distance a risk to its sucessful placement? ...Carol
Carol, there are always risks in bringing down and moving a tooth that is within the bone. The success rate of movement is very high. However, your concern about moving this canine over a distance of two teeth is a concern, but the roots that the canine will be traversing over can be moved out of the way. If the two teeth that the canine will be going over are baby teeth, then you need not worry too much. If they are permanent teeth, then the roots can be positioned in a way that there will be minimal contact. The best thing would be to discuss this more thoroughly with your orthodontist.
Edward Leventhal, DDS
Baltimore Cosmetic Implant Dentistry
8860 Belair Road
Baltimore, MD 21236