The upper canines, sometimes called eye teeth, are among the last front teeth to come through, usually between ages eleven and thirteen. Occasionally, a canine becomes stuck in the jaw and does not erupt properly. This is called an impacted canine. Early diagnosis and treatment can help guide it into place and protect neighbouring teeth.
Canines have a long path to travel from where they form in the jaw to their final position. Crowding, retained baby canines, extra teeth or abnormal tooth development can block this path. Sometimes the canine simply develops in an unusual position. Genetics may also play a role.
Signs include a baby canine that remains in place well beyond age thirteen, a gap where the adult canine should be, a bump in the gum or palate, or asymmetry when one canine comes through and the other does not. Often there are no symptoms, which is why routine X-rays are important.
Dentists often check canine position with X-rays around age nine to eleven. If a canine appears to be developing in the wrong direction, removing the baby canine early can sometimes allow the adult tooth to correct its path naturally.
If the canine does not erupt on its own, a minor surgical procedure may expose the tooth and attach a small bracket or chain. Braces then gently guide the tooth into position over several months. This combined approach is common and often successful.
An impacted canine can sometimes press against the roots of neighbouring teeth, causing damage. Timely treatment helps prevent this. Your dentist will monitor root health with imaging.
In some cases, the canine is positioned in a way that makes it impossible to bring into place. It may be removed, and the space can be closed with braces or later restored with an implant or bridge.
The exposure procedure is usually done under local anaesthetic, sometimes with sedation. Recovery is typically quick, with mild discomfort for a few days.
Bringing an impacted canine into place can take longer than routine orthodontic treatment, often adding several months. Patience and regular appointments are important.
When successfully aligned, the canine plays an important role in the bite and smile. Retainers help keep it in position after treatment.
After a canine is surgically exposed, the gum may feel tender for a few days. Gentle salt water rinses, soft foods and careful brushing around the area help healing. Your child should avoid touching the attachment or chain with their tongue or fingers. Some bleeding or oozing on the first day is normal. If swelling increases, pain worsens after the first few days or the attachment comes loose, contact the clinic so it can be checked and reattached if needed.
A canine tooth that is stuck in the jaw and has not erupted properly.
Sometimes, especially if detected early and the baby canine is removed.
Not always, but many cases need a minor procedure to expose the tooth.
Book an orthodontic check if you are concerned about your child's canine teeth. Learn more about metal braces in Al Ain.
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