Impacted Canine Removal in St. Louis

Surgical Treatment for Impacted Eye Teeth
Canines, often referred to as "eye teeth," play an essential role in your bite alignment, facial structure, and overall dental function. When a canine fails to emerge properly, it is considered impacted — often requiring surgical assistance to expose or remove it.
At Gateway Oral and Maxillofacial Surgeons of St. Louis, we specialize in the diagnosis and treatment of impacted canines using advanced surgical techniques. Whether you're referred by your orthodontist or need a second opinion, our board-certified team offers personalized treatment options for both teens and adults.
What Is an Impacted Canine?
The canine teeth, located at the corners of the dental arch, are usually the last to erupt. Because of their long roots and strategic location, they guide the other teeth into alignment. When a canine tooth becomes trapped beneath the gum or bone — often due to overcrowding or abnormal development — it is considered impacted.
Impacted canines may:
- Remain completely under the gum
- Partially erupt in an abnormal position
- Cause crowding or damage to nearby teeth
- Lead to cysts or infection if left untreated
Timely evaluation is critical, especially during the teen years when eruption patterns are still developing.
How We Treat Impacted Canines
We offer several options based on the position of the tooth and your orthodontic or restorative goals:
Surgical Exposure and Bonding
If the tooth is healthy and in a favorable position, we can surgically expose the canine and attach a small orthodontic bracket. This allows your orthodontist to gently guide the tooth into proper alignment.
Surgical Removal
If the tooth is severely impacted or causing damage to nearby teeth, impacted canine removal may be recommended. This is especially common in adult patients or cases where the canine has no functional use.
3D Imaging and Planning
We use cone-beam CT imaging to plan impacted canine surgery with high precision. This minimizes surgical trauma and supports predictable outcomes.
When to Seek Treatment
You may need an evaluation if:
- Your dentist or orthodontist notices a delayed eruption of upper canines
- You have a visible bump on the gum where the tooth should erupt
- Nearby teeth are shifting or becoming crowded
- You're experiencing discomfort or swelling in the upper jaw
Our team works closely with referring orthodontists and general dentists to coordinate treatment. If a related procedure is needed — such as wisdom teeth removal — we can manage both during a single visit when appropriate.
Why Choose Gateway Oral and Maxillofacial Surgeons?
Patients across the St. Louis area trust our team for surgical expertise and a supportive patient experience. When treating impacted canines, precision, timing, and communication are critical — and we deliver on all fronts.
- Board-certified surgeons like Dr. Fernando
- Advanced imaging for detailed diagnostics
- Close collaboration with orthodontists
- Comfortable surgical environment with IV sedation options
- Convenient Clayton location, serving all of Greater St. Louis
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Schedule a Consultation for Impacted Canine Treatment
If you or your child has been diagnosed with an impacted canine, early intervention can help avoid more complex issues later. Our team will evaluate your options and help you decide whether exposure or removal is the best path forward.