Releasing and ligating a tooth

What does the treatment involve?

For teeth that do not erupt spontaneously-as is often the case with upper canine teeth-the surgeon can freeze and ligate the tooth. Releasing means that the gums (and, if necessary, some bone) are removed. Ligation means attaching a metal clasp (bracket) with a wire or chain to the tooth. This appliance is later used by the orthodontist to pull the tooth to the correct position in a controlled manner.

During the operation

1.

Anaesthetic

The treatment is performed under local anaesthesia. This ensures that the treated area is well numbed and avoids pain during the procedure.

2.

Access

The surgeon makes an opening in the gums, removes any parts of gum and/or bone, and exposes the tooth.

3.

Wound dressing

If no lock is needed, a temporary wound dressing is applied and thus the treatment is satisfied.

4.

Preparation

If a lock needs to be placed, the tooth is prepared with an etching (acid) so that the glue to the lock adheres better.

5.

Attachment

The clasp is bonded to the tooth and hardened with a special lamp. As a result, the clasp is firmly attached to the tooth surface.

6.

Connection

Attached to the clasp is a wire or chain that is connected to the bracket. This ensures that the tooth can be brought into the correct position gradually.

7.

Adhesion

The opening is closed and the wound is sutured with self-soluble thread if necessary.

After surgery

Other information

  • Damage to an adjacent molar, root or filling.
  • In some teeth, despite treatment, the tooth still does not break through.
  • The lock may come loose.
  • In some cases, the gums grow back over the exposed tooth.

Download brochure

The brochure offers additional information about this treatment. Please note that it includes medical images that some people may find sensitive.

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