Fig. 15.23 (a) Use of a buccal flap to remove erupted |C, totally submerged |D,
infraoccluded |E, and unerupted |4. (By kind permission of Dental Update.) (b) The
buccal flap is raised. (By kind permission of Dental Update.) (c) Bone is removed
with a chisel following removal of |CE. (By kind permission of Dental Update.) (d)
Totally submerged |D is identified by occlusal amalgam. (By kind permission of
Dental Update.) (e) |D Removed and |4 located. (By kind permission of Dental
Update.) (f) |4 removed. (By kind permission of Dental Update.) (g) Wound Closure.
(By kind permission of Dental Update.)
1051H
Fig. 15.24 (a) Pre-operative view prior to removal of palatal supernumerary (+
CBA/C) in a 9 year old child via a small palatal flap. (By kind permission of Dental
Update.) (b) Unerupted 21| and supernumerary obvious on radiograph. (c) Erupted
teeth extracted and palatal gingival margin being incised. (By kind permission of
Dental Update.) (d) Small palatal flap raised. (By kind permission of Dental
Update.) (e) 21| and supernumerary identified after bone removed. (By kind
permission of Dental Update.) (f) 21| remain. (By kind permission of Dental
Update.) (g) Wound closure. (By kind permission of Dental Update.)
15.5.3 Surgical aids to orthodontics
Surgical exposure of teeth
The exposure of buried teeth may involve either the extraction of erupted teeth or the
removal of buried dental elements, but in some cases all that is required is excision of
overlying soft tissue. If the tooth can be exposed adequately through a collar of
attached gingiva then the procedure is quite simple: