Expose and Ligation Procedure on Impacted Teeth

Posted on April 3, 2019

Sometimes teeth do not form properly and can end up getting stuck or “impacted” below the gum line. It is common to hear about this happening to wisdom teeth, but it often happens to canine teeth as well. Canine, also called cuspid teeth, play an important role in your occlusion. That is why many people who have impacted canines are referred to an orthodontist. The orthodontist can uncover the impacted tooth and pull it down into proper position. This is what we call the expose and ligation procedure.

What is the Expose and Ligation Procedure?

Expose and ligation is a minor procedure that can be performed using a local anesthetic. This can also be done under general anesthesia if the patient prefers, by an oral surgeon. First, a small incision will be made in the palate to expose the tooth. Then, an orthodontic bracket with a small gold chain will be bonded to the exposed tooth so it can be pulled down into position.

After your procedure, you can expect slight bleeding for up to 24 hours. At Cardinal Orthodontics, we advice patients to:

• Limit their physical activity the day of the expose and ligation procedure to avoid any unnecessary injury
• Apply ice as much as possible the first few days to avoid swelling
• Eat soft foods
• Brush as best you can!
• Rinse with warm salt water until healing is complete