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Home Uncategorized The Canine in Palate
13Apr

The Canine in Palate

by admin

What happens when the canine grows into the palate?

As the upper canine grows down it can go off-course, sometimes lying above and in front of the incisors and sometimes lying in the palate behind the incisors. The position in the palate causes the most trouble.

How can this be rectified?

There are several ways of dealing with it:

  • If possible the best plan usually is to expose the canine (this entails a visit to the hospital) and bring it into line with a fixed (train-track) brace. This is complicated and takes nearly two years.
  • If this is too difficult the canine may be removed from the hospital. The baby canine can often be kept in the mouth for years but it is a very small tooth and eventually, it often falls out.
  • If the mouth is overcrowded it may be possible to remove both the baby tooth and the permanent canine and go for space closure. A fixed brace again is used to bring together the teeth on either side of the gap.
  • If neither the baby tooth nor the second tooth is worth saving it may be best to remove both and make a false tooth for the gap. This means wearing a plate, making a bridge fixed to the teeth on either side of the gap, or placing an implant. This is often the best plan in an adult who has kept the baby tooth for a long time but now needs a replacement.
  • Another option is to transplant the permanent canine if there is enough room. This can be very successful for a few years but eventually, the tooth loosens and falls out.
  • If the baby tooth looks good and the permanent canine is not causing any harm the best line may be to accept the situation and do nothing at all. The canine sometimes damages the teeth next door although this is rare after 16 years.

What is the treatment for Dry mouth?

Your treatment depends on the cause of your dry mouth. Your doctor or dentist may:

  • Change medications that cause dry mouth. If your doctor believes medication to be the cause, he or she may adjust your dosage or switch you to another medication that doesn’t cause a dry mouth.
  • Recommend products to moisturize your mouth. These can include prescription or over-the-counter mouth rinses, artificial saliva or moisturizers to lubricate your mouth.

If you have severe dry mouth, your doctor or dentist may:

  • Prescribe medication that stimulates saliva.
  • To prevent cavities, your dentist might fit you for fluoride trays, which you fill with fluoride and wear over your teeth at night. Your dentist may also recommend weekly use of a chlorhexidine rinse to control cavities.

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