Surgical Orthodontic Procedures

Expose & bond for impacted teeth

Impacted teeth — especially maxillary canines — may require surgical exposure to allow your orthodontist to guide the tooth into position. We expose the tooth, place an attachment when appropriate, and coordinate the plan with your orthodontic team.

Surgical luxation & orthodontic assistance

Some teeth are slow to move due to dense bone, position, or partial ankylosis. In select cases, surgical assistance (including gentle luxation or exposure) may help facilitate orthodontic movement while protecting adjacent roots and periodontal support.

Orthodontic‑directed extractions (premolars and select teeth)

When recommended by your orthodontist, removing specific teeth can create space to relieve crowding, improve bite alignment, or guide eruption. We coordinate timing and tooth selection closely with your orthodontic plan to keep treatment efficient and predictable.

• Upper and/or lower premolar extractions when space is needed
• Removal of retained baby teeth or teeth interfering with eruption
• Comfort‑forward care with local anesthesia and sedation options when appropriate

Tooth uprighting & assistance for difficult movement

Teeth can tip into spaces, remain partially buried, or resist movement. In select cases, minor surgical assistance may support your orthodontist’s mechanics — for example to help upright a tipped molar, improve access for traction, or remove obstacles that block movement. Candidacy depends on root anatomy, bone support, and periodontal considerations.

Coordinated care with your orthodontist

• Pre-surgical planning based on imaging and orthodontic goals
• Precise access that preserves gum tissue and supports esthetics
• Comfort-forward care with office‑based IV sedation and local anesthesia options