Why do some teeth never seem to come through?
For most people, teeth follow a predictable pattern – erupting during childhood and adolescence without major issues. But for some, a tooth doesn’t emerge at all, or only partly erupts, leaving a gap or an awkwardly positioned tooth in the mouth. This problem, often called an impacted tooth, is especially common with upper canines.
Not only can this affect appearance, but it may also cause crowding, discomfort, or even damage to nearby teeth if left untreated. That’s where orthodontic treatment becomes essential. At Park Lane Orthodontics, patients with impacted or missing teeth are guided through tailored solutions that restore both function and confidence in their smile.
What is an impacted tooth and why does it happen?
An impacted tooth is one that has developed but is unable to break through the gum properly. This can be caused by several factors, such as:
- Overcrowding in the mouth.
- A baby tooth that has not fallen out when expected.
- A tooth that grows at the wrong angle.
- Genetic factors or unusual positioning within the jaw.
Upper canines are the teeth most often affected, but other teeth can be impacted too. For patients, this can lead to gaps in the smile, difficulties with bite, or concerns about long-term dental health.
How can orthodontics help when teeth don’t erupt?
At Park Lane Orthodontics, impacted teeth are carefully assessed and managed using advanced orthodontic techniques. Dr Ben Buffham, Orthodontist and Partner at the practice, has extensive experience treating these complex cases. His work often involves close collaboration with oral surgeons and restorative dentists to create a complete treatment plan.
Treatment may include:
- Creating space with braces or aligners – making room for the impacted tooth to move into its correct position.
- Surgical exposure – in some cases, a minor surgical procedure is needed to uncover the tooth so braces can gently guide it into place.
- Multi-disciplinary planning – if the tooth cannot be saved, options such as implants or bridges may be explored with other dental professionals.
This joined-up approach ensures that every decision is made with the patient’s long-term health, function, and appearance in mind.
What is the patient journey for impacted teeth treatment?
Patients dealing with impacted teeth often feel nervous about the complexity of treatment. Park Lane Orthodontics is committed to making the journey clear and reassuring:
Step 1: Comprehensive Consultation
- Detailed examination and 3D imaging.
- Discussion of patient concerns, goals, and options.
Step 2: Treatment Planning with Dr Ben Buffham
- Creation of a personalised plan.
- Coordination with other dental professionals where needed.
Step 3: Orthodontic Treatment
- Braces or aligners are used to guide teeth into position.
- Regular check-ups ensure safe, predictable progress.
Step 4: Completion and Retention
- Once the tooth is aligned or the chosen solution is complete, retainers are fitted to maintain results.
- Ongoing support ensures long-term stability.
Why choose Park Lane Orthodontics for complex orthodontics?
Not all practices are equally equipped to manage challenging cases like impacted teeth. Park Lane Orthodontics stands out for several reasons:
- Proven experience – Dr Ben Buffham has treated hundreds of patients with complex orthodontic needs, including missing and impacted teeth.
- Specialist support – with Dr Shivani Patel, Orthodontic Specialist and Consultant Orthodontist, on the team, patients benefit from specialist-level oversight and access to the highest professional standards.
- Collaborative care – the practice regularly works with surgeons and restorative dentists to achieve the best outcomes.
- Patient-centred approach – every treatment is explained clearly, with time taken to answer questions and minimise anxiety.
This combination of expertise, teamwork, and patient focus reassures patients that even complex cases can be managed effectively.
What questions do patients often ask about impacted teeth?
“Will I need surgery?”
Not always. Many cases can be treated using braces alone, though sometimes surgical exposure is required. This is explained fully before any treatment begins.
“How long will treatment take?”
Because impacted teeth can be stubborn, treatment often takes longer than routine orthodontics – typically between 18–30 months. However, the results are worth the investment.
“Is treatment painful?”
Some pressure or mild discomfort may be experienced when braces or aligners are adjusted, but this is temporary and manageable.
“What if my tooth can’t be saved?”
If an impacted tooth cannot be guided into place, Park Lane Orthodontics works with restorative dentists to explore options such as implants, bridges, or cosmetic solutions.
How can you take the first step?
If you or your child has a tooth that hasn’t erupted properly, you don’t have to live with uncertainty or gaps in your smile. At Park Lane Orthodontics in Reading, the team has the knowledge, experience, and supportive approach to guide you through even the most complex orthodontic challenges.
Book an assessment with Dr Ben Buffham today and discover the tailored solutions available for your smile.