What is Expose and Bond Oral Surgery?
This surgery is a procedure used to help teethe that do not make it all the way into the mouth and have gotten impacted or stuck in the jaw. The procedure guides these teeth into the proper position so they do not become permanently impacted. Leaving the teeth in an impacted position can lead to resorption of the other teeth nearby and cause cysts and tumors to develop.
During the procedure, the physician will expose the impacted tooth and attach a bracket to the tooth to help guide it safely into the desired position. The brackets are applied the same as any other bracket is bonded to the tooth. Usually, the bracket will have a gold chain attached to it, which will be brought out of the gum tissue and tied to adjaced orthodontic devices. The patient will either be asleep or awake depending on how complex the procedure will be and what the patient prefers. After the surgical opening heals, the patient returns to the orthodontist to have the chain tightened as needed to provide the correct amount of traction needed to guide the tooth into position. Depending on how deeply the tooth is impacted, the tooth is usually in place within a few months.
Preparing for the procedure
You should not have anything to eat or drink at least 12 hours before the surgery.
Stop smoking a day or two before your surgery and do not smoke for at least 5 days after the surgery. If you insist on smoking, you will greatly increase your pain and prolong your healing time and you will significantly increase your chance of infection because the chemicals and gases in tobacco smoke contains ammonia, hydrogen cyanide, lead, nicotine, pesticides, radioactive polonium and many other deadly gases.
Since chewing will be difficult, you should purchase foods that are easy on the gums prior to your surgery such as puddings, ice cream, soup, yogurt, ginger-ale, 7-up, fruit juices, Gatorade, milk or instant breakfast mix. Anything soft and non-spicy would be good.
After the surgery, the gums will be tender and the patient should avoid chewing in this area. The healing process normally goes quite rapidly and pain medicine is usually only needed for the first couple of days. If stitches are used, usually the orthodontist will use the kind that dissolve on their own, which means you wouldn’t need to go back to the office for follow up visits on the stitches. It usually takes the gum tissue about three to four weeks to heal completely. Pain that last for up to a week but is gradually getting better is considered normal. If your pain starts to get worse after two days, you should contact your orthodontist.
Dr. Runyon, DDS, Lexington Kentucky Office of Oral and Maxillofacial Surgery