Abnormal Tooth Eruption Treatment in Bangalore
Teeth coming in wrong or not appearing at all? Discover effective treatments to guide proper tooth eruption and manage impacted teeth.
What is Abnormal Tooth Eruption?
Abnormal tooth eruption refers to teeth that don't emerge in the expected position, time, or sequence. This includes delayed eruption, ectopic eruption (teeth coming in the wrong place), and impacted teeth (teeth stuck under the gum or bone).
These problems can affect both baby teeth and permanent teeth. While some eruption variations are minor, others can cause significant problems if not addressed—including damage to adjacent teeth, cyst formation, and loss of the affected tooth.
At Curve Orthodontics in Bangalore, Dr. Garima Gupta (MDS Orthodontics) provides comprehensive evaluation and treatment for teeth eruption problems. Early detection is key to simpler, more effective treatment.
Signs of Abnormal Tooth Eruption
Delayed Tooth Emergence
Teeth not appearing when expected. Permanent teeth typically emerge between ages 6-13; significant delays warrant evaluation.
Tooth in Wrong Position
A tooth emerging far from its normal position—such as near the palate, through the gum beside other teeth, or at an unusual angle.
Visible Bulge in Gum
A bump or swelling in the gum that indicates a tooth trying to erupt but unable to break through properly.
Crowding Around Erupting Teeth
Insufficient space causing teeth to come in crooked, overlapping, or pushing other teeth out of position.
Retained Baby Teeth
Baby teeth that don't fall out on schedule, often because the permanent tooth isn't positioned correctly to push them out.
Pain or Swelling
Discomfort, swelling, or infection around teeth that are having difficulty erupting through the gum.
Types of Eruption Problems
Impacted Teeth Teeth that are blocked from erupting by bone, other teeth, or soft tissue. Upper canines and wisdom teeth are most commonly impacted. Without treatment, impacted teeth can:
- Damage roots of adjacent teeth
- Develop cysts around them
- Never erupt on their own
Ectopic Eruption Teeth that emerge in the wrong position—often because they've taken an abnormal path during development. For example, an upper molar erupting at an angle that damages the tooth in front of it.
Delayed Eruption Teeth that don't emerge within the normal timeframe. This may be due to:
- Extra teeth (supernumerary teeth) blocking the path
- Dense bone or gum tissue
- Cysts or other obstructions
- Systemic conditions affecting development
Premature Eruption Teeth emerging earlier than normal—sometimes even present at birth (natal teeth) or shortly after.
Why Early Detection Matters
Prevents Damage: Impacted canines, for example, can resorb (dissolve) the roots of adjacent incisors if not detected early.
Simpler Treatment: Intervening while the patient is still growing often allows simpler treatment than waiting until adulthood.
Preserves Teeth: Early intervention increases the chance of saving and properly positioning affected teeth rather than extracting them.
Better Outcomes: The success rate for exposing and aligning impacted canines is higher when treated earlier.
Treatment Approaches
Metal Braces
Essential for guiding impacted teeth into position. Brackets are bonded to exposed teeth and elastics gradually move them into the arch.
Ceramic Braces
Aesthetic option for older teens and adults requiring treatment for eruption problems.
Space Maintainers
Hold space open for teeth that will erupt later, preventing adjacent teeth from drifting into the space.
Palate Expander
Creates space in a crowded arch, potentially allowing impacted or blocked teeth to erupt on their own.
How Treatment Works
For Impacted Teeth
The most common approach for impacted canines and other impacted teeth:
1. Surgical Exposure An oral surgeon or periodontist uncovers the impacted tooth by lifting the gum or removing bone covering it.
2. Bracket Attachment A bracket with a chain is bonded to the exposed tooth during the same procedure.
3. Orthodontic Traction The chain is attached to the braces, and gentle force gradually guides the tooth into its correct position in the arch.
4. Alignment Once the tooth is in the arch, it's aligned with the other teeth using standard orthodontic mechanics.
For Blocked or Delayed Eruption
Creating Space: If crowding is blocking eruption, braces or expanders create room for the tooth to come through.
Removing Obstructions: Extra teeth (supernumerary teeth) or other obstructions may need to be removed surgically.
Monitoring: Some mildly delayed teeth will erupt on their own once obstructions are removed or space is created.
For Ectopic Eruption
Treatment depends on severity:
- Mild cases may self-correct with monitoring
- Moderate cases may need separators or minor intervention
- Severe cases may require extraction and space management
Treatment Duration
Treatment for impacted teeth typically adds 6-12 months to overall orthodontic treatment time. The complete process—from exposure to final alignment—usually takes 18-30 months total.
Abnormal Eruption FAQs
What causes teeth to become impacted?
Common causes include insufficient space in the jaw (crowding), abnormal tooth position during development, extra teeth blocking the path, thickened bone or gum tissue, or the tooth simply developing at a wrong angle. Genetics play a role—impacted canines often run in families.
How are impacted canines treated?
Treatment typically involves surgical exposure (uncovering the tooth), bonding a bracket with a chain to it, and then using braces to gradually guide the tooth into position. This process is very successful when done at the right age. In some cases where the tooth is severely malpositioned, extraction may be necessary.
When should children be evaluated for eruption problems?
The American Association of Orthodontists recommends all children see an orthodontist by age 7. At this age, we can identify potential eruption problems before they become serious. If you notice delayed teeth, teeth in wrong positions, or retained baby teeth, schedule an evaluation promptly.
Can impacted teeth fix themselves?
Rarely. Some mildly malpositioned teeth may improve if space is created, but truly impacted teeth almost never erupt on their own. Without treatment, they remain stuck in the bone, potentially causing damage to adjacent teeth or developing cysts.
What happens if impacted teeth aren't treated?
Untreated impacted teeth can cause root resorption (damage to adjacent teeth roots), cyst formation around the impacted tooth, infection, and loss of the impacted tooth itself. Impacted canines, in particular, can cause significant damage to the front teeth if left untreated.
Is treatment painful?
The surgical exposure is done under local anesthesia and is typically well-tolerated. Post-operative discomfort is manageable with standard pain medication. The orthodontic traction process involves gentle force and is generally not painful, though you may feel pressure when adjustments are made.
Concerned About Tooth Eruption?
Schedule a consultation to evaluate any eruption problems and determine the best treatment approach.
Tooth Eruption Treatment Near You in Bangalore
Curve Orthodontics is conveniently located on Haralur Main Road, serving patients from Sarjapur Road, Bellandur, HSR Layout, Electronic City, Kudlu, and Silver County Road.
Clinic Hours: Monday to Saturday, 11am - 8pm
Address: 1st Floor, SSK Arcade, Haralur Main Rd, Bengaluru, KA 560102
Dr. Garima Gupta (MDS Orthodontics) provides expert evaluation and treatment for abnormal tooth eruption and impacted teeth. Learn about other conditions we treat →