The goal of surgically exposing and bonding an orthodontic bracket to an un-erupted permanent tooth is to move that tooth into a more functional and/or aesthetic position. Exposure of the tooth usually requires surgically removing any soft or hard tissue that is covering the tooth preventing it from erupting. Occasionally removing the tissue and packing the wound open is all that is needed to promote proper eruption.
Other instances require bonding a bracket with a chain attached to the impacted tooth and using traction to drag the tooth into the appropriate place. This procedure is most often performed with your Orthodontist and Dr. Arne’ consulting together to determine the most reliable method. This procedure can be done under local anesthesia (numbing shots) but will most likely be performed with some type of IV sedation to ensure patient comfort.