Impacted canine

[Applejack87]

Hi
My 14 year olds canines aren’t breaking through the right side has gone completely in the wrong direction under the gum , I am on a waiting list at the Eastman for a second opinion , we did pay privately in the mean time to see an orthodontic recommended by the dentist she feels that it may have to be extracted as it’s growing into the root of the tooth beside it , my concern is if it’s taken out how obvious will it look that she has a canine missing , what can be done to fill the space she’s too young for an implant
Has anyone been through this I’m worried

I think if they have to remove a canine, they usually just replace it with a false tooth.

I had this as a teenager. Both top canines were practically horizontal. On the NHS I first had milk teeth canines removed, then train tracks bracess, then a daycase operation to attach chains to the teeth in my gums, which were gradually pulled into place over a number of othodedic operations.

At such a young age , I hope this isn’t the case I feel so sorry for her

*orthodontic appointments not operations

I hope that they can use the trains the private orthodontic said it’s going towards the tooth next to her front tooth . I’ve looked at the X-ray and it’s very clear that the angle is like yours were branblecrumble . There’s currently a back log at the dental hospital so we’re just waiting on the list

Sorry not trains chains

This is an X-ray I’ve outlined the adult canine growing at an angle

I had this except my canine was actually growing through the roof of my mouth. I had oral surgery to expose it, a bracket was placed on it, and then it was slowly pulled into place.

Thankyou for your reply I think it would be easier if it was growing through the roof but this tooth is growing across the roots of the tooth next to it , she still has a lot of baby teeth

Her baby teeth should have been pulled by now. She's 14! Why hasn't this been done? It's no wonder the tooth is growing in wrong?

I'm not a dentist but it's strange the milk teeth haven't been removed yet. My DS milk teeth usually don't fall out and the adult ones grow in front/across/behind them. He's been having the milk teeth removed as the adult teeth have come through or looked like there might be a problem.

DS1 had this. He had several baby teeth pulled aged 15, train tracks top and bottom (also had an overbite) and problem solved.

I agree but I’ve been following the advice of the orthodontic , due to covid the Eastman still has closed clinics and a back log since March it could be well into next year before she’s seen

I would take her back to a private orthodontist asap.

I had a similar issue- except in my case one canine was missing and one was a peg tooth.

Braces and then false tooth on a bridge on one side and composite build of peg tooth on the other. Meant to be temporary... that was 15 years ago need a new crown on the peg tooth but the false one looks great and has never caused any problems, despite being intended as a short term solution until I was old enough for an implant.

Its not that bad OP. What bramble had done might be an option, you cant say where the tooth is from one xray alone. I obviously cant see her mouth, and havent assessed her in person so I cant say for definite what is possible

Shes still got the baby canine that side. Dont go getting the dentist to extract that yet. Wait for the Eastmann. You might be able to remove the adult and leave the baby or remove both and close the space. Its not particularly noticable if you have a premolar in place of a canine

Theres a lot of options at this stage, but she absolutely will not be left with a gap. I would wait for the opinion from the Eastmann, they are the experts

DD2 had two ectopic canines. One was impacted (growing down the wrong side into the front tooth) and one was just high in the gum.

During the wait list for surgery, the tooth that was high in the gum grew down. They removed that tooth and the one that was impacted under GA, along with a wobbly milk tooth and two bottom teeth (DD2 has an underbite).

DD2 has fixed braces. They are going to move back the front bottom teeth to reduce the underbite.

HER BABY TEETH SHOULD NOT Have been “ pulled “ by now.

We don’t ROUTINELY extract baby teeth .

Sometimes we do.
Nature does a good job in most cases ; the adult teeth resorb the roots of the baby teeth on their way into Their final adult position.

This is the problem with posting for medical advice online.

OP if the canine has to be removed the space will be closed orthodontically .
However it might not have to be extracted. It may be possible to expose it surgically in the roof of the mouth and guide it into position with a small chain. Like @Bramblecrumble describes above.

Remember the x-ray is a 2 dimensional image of a 3 dimensional structure so it’s impossible to say exactly where the canine is or if it is touching the roots of other teeth .

Also she still has her baby canine on that side that is maintaining the space.
Orthodontists are in my opinion the real geniuses in dentistry

My dd got a baby canine removed to let the adult tooth come through. The adult one was pushing on the roots of the tooth next to it and making it twist out of alignment. She had a referral to get the tooth exposed and a chain attached but the referral took so long the tooth came through the gap by itself

@DishRanAwayWithTheSpoonon

Excellent , someone who knows what they are talking about

Thankyou all so much for your advice & replies , we are hoping that the adult tooth can be saved I’ll chase up the dental hospital again on Monday the private orthodontic has as someone mentioned adviced not to extract the baby tooth .

I was surprised that the surgeon removed the tooth that had grown down into position. Perhaps it was for symmetry.

Think my dd was 14 when her remaining baby tooth (canine) got extracted to provide a space for her adult tooth to come in. She also had braces to sort out the twisting of the neighbouring tooth that the adult tooth had caused in the gum

It seems to be quite common , my friends dd is going through the same thing
My dd will have the canine on the opposite side removed as the root has dissolved on that one & its wobbly but is holding on , the adult tooth is in the correct position the orthodontic has recommended this to allow Space