Grid & Chain

Dentist checking on patient with grid and chain procedure - Benicia Oral Surgery, CA

Sometimes certain teeth, especially the cuspids and canines, do not emerge the way they should. Since these teeth are especially important for chewing, it’s necessary to take steps to make sure they grow in correctly. Contact the office of Benicia Oral Surgery in Benicia, California, for an evaluation for a grid & chain procedure to rid yourself of impacted cuspids and canines. You can call the office for an appointment or easily schedule online today.


Sometimes your cuspids and canines don’t have enough room to grow in correctly and get impacted in your jaw. Since these are such important teeth for chewing and your bite, it’s essential that they grow in correctly. In cases of impacted cuspids and canines, a grid and chain procedure is often the right option. A grid & chain procedure combines the talents of both your Benicia Oral Surgery provider and an expert in orthodontics. Once your surgeon clears the way for your canine to emerge, braces are placed on your tooth to give it the necessary space.  


Most canines usually emerge around the age of 13. If they aren’t comingGrid and Chain Procedure Benicia, CA out, make an appointment at Benicia Oral Surgery for a professional evaluation. The experts utilize the latest in dental technology including X-rays, CT scans, and more.

The earlier an impacted tooth is treated the better. The longer you wait, the greater chance it will fuse with the bone. At that point the only option is extraction


First your Benicia Oral Surgery provider surgically removes anything that is blocking the way of your canines emerging. This can be baby teeth that refuse to come out, other impacted adult teeth, or any abnormal growths or bone abnormalities.

At this point your surgeon will expose your impacted canine so that braces can be placed on your arch and your impacted tooth. This process allows for the grid & chain to pull it down into the proper place. Depending on your situation your impacted tooth might remain uncovered or your surgeon might choose to stitch up your gums around the bracket and chain. Slowly your impacted tooth will shift into the correct position.



What causes impacted teeth?

Impacted teeth can sometimes happen because of overcrowding. As other teeth emerge they can take up the available space on the jawline, preventing others from emerging. Even if there is just a little space the teeth can emerge unnaturally and become twisted, tilted or displaced.

Along with canines it is also common to see the wisdom teeth impacted, these are also known as the third set of molars. As these teeth are the last to emerge, usually during your late teens or early 20’s there is little space for them to grow out naturally. As this set of teeth are not essential they can either be helped out by an orthodontic device or they can be extracted. 

Will I have to hide my smile after a teeth exposure procedure?

Although a tooth extraction procedure may make you feel conscious of your smile, there will be little to see from those looking on from outside. People often worry about unsightly bits of bone being exposed or metal contraptions filling the mouth. However this is not the case, with careful oral surgery, you will be able to continue to confidently smile.

Firstly there will not be any unsightly exposed bone or socket visible. The surgeon will sow together any incisions and after a few weeks the site will be completely healed. 

Also the grid and chain device will be well hidden too. The brace usually sits below the gum line and there may be only a small piece of the chain exposed.  

If your canine teeth haven’t emerged, call Benicia Oral Surgery or make an appointment online today.

Our doctors who provide this service

Irving Riley, DDS

With over 40 years of clinical experience, Irving Riley, DDS, MPH, serves the San Francisco Bay region as an oral surgeon at Benicia Oral Surgery located in Benicia, California. He holds various leadership positions in professional and civic organizations and has taught dental students as an associate professor at the University of Detroit Mercy Dental School.

Lewis Clayman, DMD, MD

With over 25 years of experience as an oral surgeon and residency director, Lewis Clayman, DMD, MD, joins the Benicia Oral Surgery team as the chief surgeon of the practice. As an expert in the field, patients choose Dr. Clayman for implantology, oncology, reconstructive surgery, and dental extractions, just to name a few. He has traveled the world volunteering his services in places such as India, Brazil, and Nepal.

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