What is an expose and bond?

An expose and bond is a surgical procedure used to help bring the impacted teeth into the dental arch. During this procedure, a small bony window is surgically made to access the impacted tooth. A fixture (usually a gold chain) is carefully luted onto the impacted tooth. The orthodontist or dentist will then use this chain to apply gentle traction in order to pull it into alignment with the rest of the arch.

Why do teeth become impacted?

A tooth’s eruption through the bone can become impacted when there is not enough space in the jaw for proper eruption of the teeth. The teeth that are most commonly affected are the canines, however incisors, pre-molars and even molars may be affected as well.

Do I need to be put to sleep for this?

There are many ways to help make sure expose and bond is safe, stress free and comfortable. Expose and bond is most commonly done under local anesthesia or in combination with either oral sedation/nitrous oxide or intravenous sedation. In general, most people (even children) do not need to be put to sleep for this procedure, but there are advantages and disadvantages to each option and Drs. Hall and Sy will discuss this with you thoroughly and make sure all your questions are answered during the consultation visit.

What is the best age for an expose and bond?

Usually, an expose and bond is best done during eruption of the teeth during the early to late teens. It becomes much more difficult to perform this procedure as the patient gets older and its success rates tend to decrease. However, there are many instances where expose and bond has worked beyond this age range and will be discussed with you during the consultation visit.

What can I expect after an expose and bond?

An expose and bond procedure is no more invasive than having impacted teeth surgically extracted. The healing time is about the same. Please see the post-operative instructions to get a better idea of what to expect when undergoing this procedure.