Canines play an important role in the appearance and function of the smile. They help guide the bite and are positioned prominently within the dental arch. Occasionally, however, a canine does not erupt normally and becomes trapped beneath the gum or within the jawbone. This is known as an impacted canine.

Although impacted canines are often identified during childhood or adolescence, some cases are not discovered until later. Early evaluation can provide more opportunities to guide the tooth into a healthy position.

What Causes a Canine to Become Impacted?

Several factors can contribute to an impacted canine. There may not be enough room within the dental arch, or another tooth may interfere with the canine’s normal path of eruption. In some cases, the tooth may develop at an unusual angle.

Family history can also play a role. Because impacted canines are sometimes associated with other alignment concerns, regular dental examinations during the developing years are particularly valuable.

How Dentists Identify an Impacted Canine

A routine examination may provide the first indication that a canine is not erupting as expected. Digital X-rays can then provide a more detailed view of the tooth’s position beneath the gumline.

The location of the impacted tooth, its angle, surrounding teeth, and available space all influence treatment planning. In some cases, additional imaging may be recommended to provide a more detailed view of the area.

Creating Space for the Canine

For many patients, treatment involves creating sufficient space for the canine and guiding it into the dental arch. Orthodontic treatment, including Invisalign in appropriate cases, may be considered depending on the patient’s age, tooth position, and overall alignment.

The goal is to provide the impacted tooth with a pathway toward its proper position while maintaining the health of the surrounding teeth.

When Surgical Exposure Is Needed

If a canine remains beneath the gum and cannot erupt on its own, a specialist may recommend a procedure known as surgical exposure. During this procedure, the tooth is uncovered so that orthodontic treatment can gradually guide it into place.

The appropriate approach depends on the individual case. Some impacted canines are relatively straightforward, while others require more involved treatment.

Why Early Evaluation Matters

An impacted canine can potentially place pressure on neighboring teeth or contribute to crowding and other alignment concerns. Addressing the problem earlier may provide more treatment options and help protect the surrounding teeth.

At Best Natural Smile, Dr. Ariela Feitelberg uses modern diagnostic technology and individualized treatment planning when evaluating developing smiles. We serve patients and families throughout Santa Monica, Marina Del Rey, Pacific Palisades, West Los Angeles, and surrounding communities.

If you or your child has been told that a canine is impacted, an evaluation can help clarify where the tooth is positioned and what treatment options may be appropriate.

Dr. Ariela Feitelberg

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