Surgically Assisted Orthodontics in Milwaukee WI

xray showing impacted wisdom teeth

During your orthodontic treatment or the orthodontic treatment of your child or family member, your orthodontist may prescribe specific oral and maxillofacial surgery procedures to be performed. These procedures range from removal of impacted teeth, placement of a temporary anchorage device (TAD), removal of teeth -other than impacted- to allow for additional spacing, and exposing teeth (usually canines,) and placing chains on them to provide traction to move the teeth into the arch space.

Depending on the complexity of the prescribed procedure, Dr. Khader will talk to you about the anesthetic options for your care; local anesthesia, sedation, or general anesthesia.


xray showing impacted wisdom teeth

Impacted wisdom teeth often require removal, but other tooth extractions may be necessary to create more space for orthodontic tooth movement or alleviate tooth crowding. Suppose a primary tooth has not fallen out or a permanent tooth erupts beside a primary tooth instead of pushing the baby tooth out. In that case, Dr. Khader will remove the primary tooth to provide space for the permanent tooth to descend.

Impacted Tooth Exposure

An impacted tooth is one that is blocked from erupting and may need to be exposed to facilitate completion of the orthodontic treatment. Impacted cuspid (or canine) teeth are the second most commonly impacted teeth (after third molars, or wisdom teeth). These impacted canine could:

  • Come in at an angle, pushing against teeth and causing cavities.
  • Fail to fully erupt, remaining instead either partially or fully below the gum line.
  • Cause bacteria to become trapped beneath the gum and lead to infection and gum disease.
  • Cause the development of cysts and tumors in the jaw bone.

Impacted canine (or other teeth) can be treated with a combination of an orthodontic and a surgical approach. Your orthodontist will make space for the tooth to erupt (come into the arch), and your oral and maxillofacial surgeon will remove any primary (baby) teeth that may be in the way and will place a small device (often referred to as a button or a bracket) on the impacted tooth. The device can then be used by your orthodontist to bring the tooth into the arch through traction.

Temporary Anchorage Device

xray showing impacted wisdom teeth

During the course of orthodontic treatment, your orthodontist may require a temporary anchorage device (TAD) to be placed to assist with orthodontic movements such as space closure, molar straightening, or occlusal corrections. Your oral and maxillofacial surgeon will be able to place these devices in the clinic with local anesthesia. Treatment usually lasts a few months, and once the desired direction has been achieved, the anchor can be easily removed from the mouth.

Orthognathic Surgery

xray showing impacted wisdom teeth

Dr. Khader will collaborate with your orthodontist to plan your orthognathic surgery. She uses three-dimensional virtual surgical planning (VSP) to prepare and simulate your surgery in order to achieve the most reliable and accurate outcomes.

Learn More about Orthognathic Surgery