Expose and Bond

Impacted (or unerupted) teeth are normally associated with wisdom teeth, but in reality, any adult tooth can fail to erupt fully. Since upper canines are usually the last of the front-facing teeth to erupt, they are also the most susceptible to impaction.

Impacted wisdom teeth can be extracted without any impact to the bite or appearance of your smile, but extracting an impacted incisor, canine, or premolar is typically not ideal. The solution is an ”expose and bond” procedure, where the impacted tooth is exposed and bonded to orthodontic braces.

BiemCare accepts expose and bond referrals. Contact us today to get started!

Generally, expose and bond procedures (sometimes referred to as “surgical tooth uncovering” and “chain-and-bracket” procedures) are performed as a collaboration between orthodontists and your operating dentist. First, your braces will be placed by the orthodontist.

Next, the dentist will perform a small surgery. Some gum tissue will be incised and any bone tissue impeding the mobility of the impacted tooth will be removed.

After several weeks, the gum tissue should be healed enough for you to return to the orthodontist, at which point a bracket will be cemented to the exposed tooth and a chain will be attached to the bracket. Some tension will be applied to the tooth using the chain-and-bracket technique. This chain will gradually pull the impacted tooth into its correct position until it is aligned with the neighboring teeth.

Keep in mind, moving teeth with expose and bond treatments can take up to a year to complete, so it’s important to be patient and trust the process!

When a tooth is unable to erupt on its own, it is called an “impacted tooth.” The expose-and-bond technique can be used to successfully prevent oral health complications such as:

• Damage to other teeth. Since impacted teeth are not ideally situated, they can damage the roots of neighboring teeth, leading to infections.

• Dislocate neighboring teeth. Impacted teeth can put pressure on neighboring teeth, causing them to become crooked, requiring later orthodontic treatment.

• Cyst growth. A cyst can form when an impacted tooth is not treated. Cysts are typically not a threat to your oral health, but they can cause discomfort.

Has your orthodontist recommended an expose and bond procedure? The team at BiemCare would be happy to discuss the procedure with you during a one-on-one consultation — call us today to get started!

No Insurance? No Problem!
We offer simple and accessible uninsured pricing.

BiemCare works to take all major insurance including Medicare/Medicaid. No insurance? No problem! BiemCare has the most affordable pricing in the Portland/Vancouver metro. Our goal is to make surgery accessible and affordable to EVERYONE. If you find a lower price, we’ll match it, and take an additional 10% off.