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One of the most important teeth in your smile is the canine tooth. These are the pointed teeth located next to your front teeth. They play an important role in your bite, help guide the way your teeth come together, and support the shape of your smile.

Unfortunately, canine teeth are also one of the teeth most likely to have eruption problems.

While wisdom teeth are the most commonly impacted teeth, canines are the second most common teeth to become impacted. When this happens, the tooth does not erupt into the mouth properly and instead remains trapped in the bone or gum.

At Strouse Orthodontics, evaluating the development of canine teeth is an important part of early orthodontic examinations because identifying problems early can sometimes prevent impaction from happening.

What Is an Impacted Canine?

An impacted canine occurs when the permanent canine tooth fails to erupt into the correct position in the mouth.

Instead of coming into place normally, the tooth may:

• Remain trapped under the gum or bone

• Erupt in the wrong location

• Push against nearby teeth

• Become stuck in the palate or jaw

• Cause damage to nearby jaw structures

This most commonly affects the upper canines.

Because these teeth develop high in the jaw and have a long path to travel before erupting, they are more prone to losing their normal eruption path. With impacted teeth, often the baby teeth will still remain present.

How Common Are Impacted Canines?

Impacted canines occur in approximately 1–3% of the population, making them one of the more common orthodontic eruption problems.

They occur more frequently in patients who have:

• Crowded teeth

• Small or narrow jaws

• A family history of impacted teeth

• Certain developmental patterns of the jaw

• Females tend to experience impacted canines slightly more often than males.

Because canines usually erupt between ages 11 and 13, problems with their eruption often become noticeable in late childhood or early adolescence.

Why Early Orthodontic Evaluation Is Important

One of the key reasons orthodontists recommend early evaluations for children is to monitor how permanent teeth are developing.

I recommend, along with the American Association of Orthodontics that children be seen for an initial orthodontic evaluation by the age of 7.

Orthodontists are trained to recognize early warning signs that a canine may be developing in the wrong direction. With proper imaging and clinical evaluation, we can often see potential problems years before the tooth would normally erupt.

Identifying these concerns early can sometimes prevent the canine from becoming impacted.

Can Impacted Canines Be Prevented?

In some cases, yes.

Every patient develops differently, but early orthodontic evaluation may allow for simple steps that help guide the canine into the correct position.

Removing Baby Teeth at the Right Time

In certain patients, removing the baby canine tooth at the right stage of development may allow the permanent canine to correct its eruption path naturally.

When done early enough, this simple step can sometimes prevent the permanent tooth from becoming impacted.

Phase 1 Orthodontic Treatment

In other situations, Phase 1 orthodontic treatment may help create space or guide tooth development.

Early treatment may involve appliances designed to:

• Expand the upper jaw

• Improve spacing for the teeth to properly come in

• Create space to help guide permanent teeth into better positions

Not every child needs early orthodontic treatment, but monitoring development early allows orthodontists to intervene when necessary.

What Happens If the Canine Is Already Impacted?

If a canine tooth becomes impacted, orthodontic treatment can usually still bring the tooth into the proper position.

However, this process requires coordination between an orthodontic specialist and an oral surgeon.

Step 1: Typically braces will be placed and the appropriate space will need to be created first.

Step 2: Surgical Exposure and Bonding

An oral surgeon performs a procedure called an expose and bond.

During this procedure:

The surgeon gently uncovers the impacted tooth

A small orthodontic attachment is bonded to the tooth

A small chain or bracket is attached so the orthodontist can guide the tooth into position

This is a common and routine procedure used to help bring impacted teeth into the smile.

Step 3: Orthodontic Movement of the Tooth

After the attachment is placed, orthodontic appliances such as braces or clear aligners are used to slowly guide the canine into its proper position.

Because impacted canines are often located deep in the bone, bringing them into place takes time. Teeth must move gradually to protect surrounding bone and nearby teeth.

In many cases, it may take several months to a year or more to fully bring the canine into the smile depending on its starting position.

Why Orthodontists Work to Save Canine Teeth

Canine teeth are extremely important for both function and appearance.

They help:

• Guide the bite when chewing

• Protect other teeth from excessive wear

• Support the corners of the smile

• Contribute to facial balance

Because of their importance, orthodontists generally try to bring impacted canines into their correct position whenever possible, rather than removing them.

The Value of Early Evaluation

Impacted canines are a good example of why early orthodontic evaluation is recommended.

The American Association of Orthodontists recommends that children see an orthodontic specialist around age 7. At this age, orthodontists can monitor how permanent teeth are developing and identify potential problems early.

Early evaluation does not always mean treatment will begin immediately. In many cases, orthodontists simply monitor development to determine if intervention will be needed later. However, issues can be detected and managed early in many cases to prevent more invasive, expensive and difficult procedures later in life.

The Bottom Line

Impacted canines are a relatively common orthodontic condition, but with proper evaluation and treatment, they can usually be successfully managed.

Early orthodontic evaluation can sometimes prevent impaction entirely. When a canine does become impacted, coordinated care between an orthodontic specialist and an oral surgeon can help guide the tooth into its proper position.

If you have concerns about how your child’s teeth are developing, an orthodontic evaluation can help ensure everything is progressing as it should.

If you’ve ever thought, “My teeth were straight… why are they shifting again?” you’re not alone.

One of the most common frustrations adults and parents share is seeing teeth move after orthodontic treatment. Whether someone had braces as a teen or completed clear aligner treatment as an adult, relapse (teeth shifting back) is real, and it happens more often than most people realize.

What Is Orthodontic Relapse?

Orthodontic relapse is when teeth shift after treatment. It may look like:

• One lower front tooth becoming crooked again
• A gap reopening between front teeth
• The bite feeling “off” after treatment
• Teeth slowly rotating or overlapping over time

Sometimes relapse is minor and cosmetic. Other times it affects bite function and can lead to uneven wear or jaw issues.

Why Teeth Move After Braces or Aligners

Many patients assume orthodontic treatment “finishes the job forever.” But the truth is, your mouth is a living system.

Even after your teeth have been moved into perfect alignment, your body continues to apply forces that try to change them over time.

Here are the main reasons relapse occurs:

1. The Bone and Ligaments Need Time to Stabilize

Teeth aren’t set in concrete. They’re held in place by ligament fibers and surrounded by bone. When teeth move during orthodontics, the ligaments stretch and remodel, and the bone must rebuild around the teeth in their new position.

That stabilization process takes time. Without retention, teeth often drift toward their old positions.

2. The Tongue, Lips, and Cheeks Push on Teeth Every Day

Your teeth are constantly affected by:

• Tongue pressure
• Lip pressure
• Cheek pressure
• Swallowing patterns
• Mouth breathing
• Clenching or grinding

Even small daily forces can shift teeth over months and years, especially the lower front teeth.

3. Growth and Aging Continue (Even in Adults)

Many adults are surprised to learn that teeth can crowd more as they age, even if they had braces years ago. Natural changes include:

• Subtle jaw changes
• Teeth wearing down
• Changes in bite forces
• Gum and bone changes with aging

This is why some adults notice shifting in their 20s, 30s, or 40s, even after successful past orthodontics.

Do Wisdom Teeth Cause Teeth Shifting?

This is one of the most common myths in dentistry and orthodontics.

Wisdom teeth do NOT cause your front teeth to become crowded or crooked.

For years, people believed wisdom teeth “push” the other teeth forward, causing relapse. But research and clinical evidence do not support that idea. Wisdom teeth don’t have the ability to push your teeth forward like a bulldozer.

So why do so many people think wisdom teeth cause shifting?

Because wisdom teeth often erupt around the same time that many adults start noticing natural crowding changes in the front teeth. The timing overlaps, so wisdom teeth get blamed, but they are not the cause.

Bottom line: even if you have your wisdom teeth removed, your teeth can still shift without proper retention. That’s why orthodontists focus on retention, not wisdom teeth, to prevent relapse.

4. Retainers Are Not Optional

This is the biggest reason teeth relapse.

A retainer is not an “extra.” It is the part of treatment that keeps the result.

If retainers aren’t worn consistently, teeth will move. Often quickly.

5. Incomplete Bite Correction Can Increase Relapse Risk

Sometimes teeth look straight but the bite isn’t fully stable. When the bite isn’t properly balanced, teeth can be pushed out of position over time.

This is why orthodontic specialists focus heavily on function, not just cosmetic alignment.

How to Prevent Teeth From Shifting After Treatment

Here’s what works.

1. Wear Your Retainers As Directed

Most relapse happens because patients stop wearing retainers—or don’t wear them enough.

A common plan includes:

• Full-time retainer wear for the first few months (varies by case)
• Then night-time wear long-term

The key is consistency. If you stop wearing retainers for a period of time, teeth can shift enough that the retainer won’t even fit.

2. Replace Retainers Before They Wear Out

Retainers don’t last forever. Clear retainers can warp, crack, or loosen.

Signs you may need a new retainer:

• it feels looser than before
• it has cracks or bends
• you have to “force” it on
• teeth start shifting despite wearing it

The Bottom Line

Teeth shifting after braces or aligners is common, but it isn’t inevitable.

Orthodontic treatment is a process that includes both:

1. Straightening and correcting the bite
2. Keeping the results stable long-term with proper retention

If you protect your result with a smart retention plan, you can enjoy your smile for life.

For many years, adults with narrow upper jaws were told the same thing: jaw expansion isn’t possible without surgery. Traditional palate expanders worked well in children, but once growth was complete, options were limited.

Today, that has changed.

Advances in orthodontics now allow many adults to expand their upper jaw without surgery using a technique called MARPE, short for Miniscrew-Assisted Rapid Palatal Expansion. At Strouse Orthodontics, this is one of the ways we help adult patients who were previously told “nothing could be done.”

What Is MARPE?

MARPE is a type of orthodontic expander designed specifically for adults and older teens. Unlike traditional expanders that rely on teeth alone, MARPE uses small, temporary anchor screws placed in the bone of the palate. These anchors allow the appliance to apply force directly to the upper jaw, making true skeletal expansion possible even after growth has finished.

In simple terms, MARPE helps widen the upper jaw by working with the bone, not just tipping the teeth outward.

Why Traditional Expanders Don’t Work in Adults

In children, the two halves of the upper jaw are still connected by a flexible growth seam called the midpalatal suture. This allows traditional expanders to work easily.

In adults, that suture becomes more rigid over time. Traditional expanders in adults often result in:

• Tooth tipping instead of jaw expansion
• Gum recession or discomfort
• Unstable or short-term results

MARPE was developed to overcome these limitations by providing support directly from the bone.

Who May Be a Candidate for MARPE?

Not every adult needs jaw expansion, but MARPE can be helpful for patients with:

• A narrow upper jaw
• Crossbites (upper teeth biting inside the lower teeth)
• Severe crowding
• Airway or breathing concerns
• A history of being told surgery was the only option

A proper evaluation by an orthodontic specialist is essential. Success with MARPE depends on factors like age, bone density, and jaw anatomy—not just symptoms.

MARPE vs Jaw Surgery

For some adults, jaw surgery is still the best option. However, MARPE can sometimes reduce or eliminate the need for surgery, depending on the case.

The difference comes down to:

• How fused the jaw is
• How much expansion is needed
• Overall facial and bite goals

An orthodontic specialist can determine which approach is safest and most effective for long-term stability.

Why MARPE Requires a Specialist

MARPE is not a routine orthodontic procedure. It requires:

• Advanced diagnosis
• Understanding of skeletal vs dental expansion
• Interpretation of 3D imaging
• Careful appliance design and activation

General dentists typically do not diagnose transverse skeletal deficiencies or perform MARPE. This type of treatment falls squarely within the scope of orthodontic specialty care.

What Does MARPE Feel Like?

Most patients describe a feeling of pressure during activation, similar to traditional expanders. Some experience temporary soreness or nasal pressure early on, which usually resolves quickly. Because the appliance is anchored to bone, many patients find it more controlled and predictable than tooth-borne expanders.

The Bottom Line

Adult jaw expansion is no longer off the table. MARPE has opened the door for many adults who were once told their only option was surgery—or no treatment at all.

If you’ve been told you’re not a candidate for expansion, or if you’re struggling with crowding, bite issues, or breathing concerns, a specialist evaluation may reveal options you didn’t know existed.

One of the first questions patients and parents ask is: How long will braces or Invisalign take?

The truth is that treatment length can vary depending on the complexity of the case, the goals of treatment, and how well patients follow their instructions. At Strouse Orthodontics, our average treatment time is around 20 months, though orthodontic treatment typically ranges anywhere from 1 to 2 years.

What Affects Orthodontic Treatment Time?

There isn’t one exact answer for everyone. Several important factors influence how long treatment lasts:

1. Complexity of the Case

Mild crowding or spacing can sometimes be corrected in less than a year.

Moderate cases with bite correction often take 18–24 months.

Severe cases or those involving impacted teeth, jaw discrepancies, or surgical needs may take longer.

2. Treatment Goals

Some patients have very mild issues, while others need a fully corrected bite for long-term health and stability. A comprehensive treatment plan may take a little longer, but it provides the best lifelong results. Some patients that forgot to wear their retainer may only need 6 months of treatment to touch up their smile.

3. Patient Compliance

Compliance is one of the biggest factors in treatment success. This includes:

Wearing elastics as directed

Wearing clear aligners 20–22 hours per day if aligners are chosen

Keeping regular appointments

Following dietary and hygiene instructions with braces

Even small lapses in compliance can add months to treatment time. On the other hand, patients who follow instructions closely often finish faster than expected.

Braces vs. Invisalign: Is There a Difference in Treatment Time?

Many people assume Invisalign or clear aligners will be faster, but the timeline depends more on the case than the appliance. With an orthodontic specialist like Dr. Eric Strouse, who has extensive experience and lectures on clear aligner therapy, even complex cases can often be completed efficiently using aligners.

Both braces and aligners are effective tools, the difference is in the plan and how well the patient follows it.

Why Seeing a Specialist Matters

General dentists may provide estimates that sound too good to be true, often because they focus on simpler, cosmetic corrections. Orthodontic specialists, however, evaluate the entire bite, jaw position, and facial structure. This ensures treatment not only looks good at the end but also works well long-term.

By starting with a specialist, you’ll get a realistic estimate of your treatment length and a plan designed for lasting results.

The Bottom Line

At Strouse Orthodontics, most of our patients finish treatment in 18 months on average, though the typical range is 1–2 years. Case complexity, treatment goals, and patient compliance all play a role in the timeline.

If you’re considering braces or Invisalign, the best way to know how long treatment will take for you is to schedule a consultation with an orthodontic specialist.

Call Strouse Orthodontics at 352-688-0331 or schedule online at www.strouseorthodontics.com
to find out how long your treatment might take. We proudly serve patients in Spring Hill, Lecanto, and surrounding Florida communities.