Can Misplaced Canines Be Corrected? Dental Concerns Explained

The canine tooth is growing on the gums?

Hello, my canine tooth is growing on the gum, positioned above the space between the second premolar and the first molar.
The primary tooth that should have been replaced by the canine is still present, which is why it has erupted in the wrong position.
Can this be corrected? Thank you.

N, 10~19 year old female. Ask Date: 2016/05/22

Dr. Huang Zhicheng reply Dentistry

Hello, based on the situation described, your canine teeth are positioned incorrectly due to the retention of primary teeth, causing the permanent teeth to grow and align improperly towards the buccal side.
In this case, the primary teeth can be extracted, and orthodontic treatment can be used to reposition the canine teeth back to their original position.
Please visit an orthodontic clinic for evaluation and treatment.
Wishing you health and safety.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/22

More Info

Misplaced canines, or canines that erupt in an incorrect position, can indeed be corrected through various orthodontic treatments. In your case, it sounds like your canine tooth (often referred to as a "tiger tooth" in some cultures) has erupted in a location that is not typical due to the presence of a retained primary (baby) tooth. This situation is not uncommon and can be addressed effectively by an orthodontist.

Understanding the Issue
Canines are crucial for proper dental alignment and function. They play a significant role in the occlusion (bite) and help guide the other teeth into their correct positions. When a canine erupts in an abnormal position, it can lead to several issues, including:
1. Misalignment of Other Teeth: The presence of a misplaced canine can cause adjacent teeth to shift, leading to crowding or spacing issues.

2. Functional Problems: An improperly positioned canine can affect how your teeth come together when you bite, potentially leading to uneven wear or jaw discomfort.

3. Aesthetic Concerns: Misplaced canines can affect the overall appearance of your smile, which may lead to self-consciousness.

Treatment Options
1. Orthodontic Evaluation: The first step is to consult with an orthodontist. They will conduct a thorough examination, which may include X-rays, to assess the position of your teeth and the underlying bone structure. This will help determine the best course of action.

2. Extraction of Retained Primary Tooth: If your primary canine is still present, it may need to be extracted. Retained baby teeth can prevent the proper eruption of permanent teeth, leading to misalignment. Once the primary tooth is removed, the permanent canine may have the opportunity to erupt into its correct position.

3. Braces or Clear Aligners: After addressing any retained teeth, orthodontic treatment such as braces or clear aligners (like Invisalign) can be used to guide the misplaced canine into its proper position. This process may take several months to a few years, depending on the severity of the misalignment and the specific treatment plan.

4. Surgical Options: In some cases, if the canine is severely impacted (stuck beneath the gums), surgical intervention may be necessary. This could involve exposing the canine and attaching a bracket to it, allowing orthodontic forces to move it into the correct position.

5. Retention Phase: Once the canine is properly aligned, a retention phase will be necessary to maintain the new position of the teeth. This may involve wearing a retainer for a specified period.

Conclusion
In summary, misplaced canines can be corrected through a combination of orthodontic treatment and possibly surgical intervention if necessary. It is essential to consult with an orthodontist who can provide a personalized treatment plan based on your specific dental situation. Early intervention is often beneficial, so seeking treatment sooner rather than later can lead to better outcomes. Remember, addressing dental concerns not only improves function but can also enhance your smile and boost your confidence.

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