Impacted Canine Treatment in Shelby Township
*For new patients only. Patients transferring from another orthodontist: $250 consultation fee, credited toward treatment if they start here.

How Fredal Orthodontics Treats an Impacted Canine Tooth
-
1
3D CBCT evaluation
An impacted canine is a canine (eye tooth) that has not come into its normal place in the mouth. Dr. Thomas Fredal Jr. uses 3D CBCT imaging (a 3D X-ray scan) to evaluate the impacted tooth. He checks its root position and its relationship to the teeth next to it. He looks past the crowns (the parts of the teeth you can see) to the roots and the bone around them.
-
2
A plan for your tooth
Treatment for an impacted canine depends on the tooth’s position and the anatomy around it. What Dr. Fredal finds can completely change his decisions. Examples are whether to expand, whether to extract teeth, and whether to recommend surgery or other interdisciplinary treatment (care shared with other specialists).
-
3
Surgical exposure, when necessary
Surgical exposure means uncovering the tooth. When it is necessary, Fredal Orthodontics coordinates it with an oral surgeon or periodontist (a gum specialist). The surgery may use an open, closed or apically positioned flap technique. These are different ways of handling the gum over the tooth.
-
4
Orthodontic treatment after exposure
Orthodontic treatment follows the exposure. When braces are indicated, Dr. Fredal uses the Damon Ultima system.
What to Expect at Your Consultation
-
Time.
The visit takes 50 minutes, including 20 minutes with Dr. Fredal. He personally conducts every consultation. -
Records.
A free CBCT scan on the i-CAT FLX V17, an iTero Lumina digital scan of the teeth and clinical photos. -
Your review with Dr. Fredal.
He reviews the complete records with you and gives his treatment recommendation. You can also talk about treatment options, timelines and financial options. -
Cost.
You get the exact treatment cost in writing. -
What to bring.
The team asks for a photo ID at the consultation.
Before & After
What Treatment Costs at Fredal Orthodontics
Comprehensive (full) treatment with Damon Ultima braces: from $5,280
Surgical exposure, when necessary: coordinated with an oral surgeon or periodontist
Comprehensive fees have three levels, by case complexity: $5,280, $6,880 and $7,175. Your fee does not change with how long treatment takes, and it includes every appliance your case needs. You get the exact cost of your own treatment in writing at your consultation.
Fredal Orthodontics is in network with Delta Dental PPO, a preferred provider (PPO) dental plan. For its other accepted PPO plans, the team files your claims on your behalf as a courtesy. The team takes your insurance card when you book, and you get your benefits verification in writing.
In-house financing has 0% interest and no credit check, with $750 down for comprehensive braces or Invisalign. The lowest monthly payment the practice advertises is $179. Payment amounts vary based on treatment costs, down payment and financing terms, and plans run up to 30 months. Cherry and CareCredit financing are also offered.
Paying in full takes 5% off by cash, check or ACH (a bank transfer), or 3% by credit card, on your out-of-pocket portion. It can be combined with one eligible community discount.
Frequently Asked Questions About Impacted Canines
What is an impacted canine?
An impacted canine is a canine tooth that has not come into its normal place in the mouth and stays under the gum or in the jawbone. The canines are the pointed teeth near the corners of the mouth, often called eye teeth. Fredal Orthodontics manages complex orthodontic cases, including impacted teeth, and plans each one from 3D imaging.
When should my child be checked for an impacted canine?
Dr. Fredal recommends that every child have an orthodontic evaluation by age 7. Each evaluation includes a 3D i-CAT CBCT scan, and he uses it to assess jaw growth, erupting teeth (teeth that are still coming in) and the airway. The consultation is free for new patients. Patients transferring from another orthodontist pay a $250 consultation fee, credited toward treatment if they start here.
What imaging does Dr. Fredal use for an impacted canine?
Dr. Fredal uses 3D CBCT imaging (a 3D X-ray) to evaluate the impacted tooth, its root position and its relationship to the teeth next to it. The practice’s scanner is an i-CAT FLX V17, and he merges the CBCT scan with an iTero digital scan for three-dimensional planning. A 3D CBCT scan is taken at every new-patient consultation, and it is free.
Does an impacted canine always need surgery?
It depends on the tooth. Treatment for an impacted canine depends on its position and the anatomy around it, and Dr. Fredal evaluates the tooth with 3D CBCT imaging. When surgical exposure is necessary, Fredal Orthodontics coordinates it with an oral surgeon or periodontist. Orthodontic treatment follows the exposure.
How long does impacted canine treatment take?
Dr. Fredal gives you an individualized treatment-time estimate after he completes your diagnostic evaluation. If braces are part of your plan, adjustment visits are every 6 to 8 weeks. Between visits, braces patients can text photos and questions to the team through Weave at any hour. The clinical team reviews them during business hours and replies with next steps.
Does Fredal Orthodontics treat impacted canines in adults?
Yes. Fredal Orthodontics routinely treats a wide range of complex adult orthodontic cases, including impacted teeth. Every case is diagnosed in three dimensions with an i-CAT CBCT scan and an iTero digital scan. When interdisciplinary care is needed, Dr. Fredal works closely with general dentists, periodontists, oral and maxillofacial surgeons and other specialists.
Related Conditions
Concerned About an Impacted Canine?
Book a free new-patient consultation at Fredal Orthodontics in Shelby Township. It includes a free 3D CBCT scan. A second opinion on treatment you are having elsewhere is free too.
Community discounts take $250 off the part you pay after insurance. One may be applied per patient, with ID proof. They are offered to military service members and veterans, teachers and school staff, and first responders. Healthcare workers, students and additional family members in treatment can use them too.
*For new patients only. Patients transferring from another orthodontist: $250 consultation fee, credited toward treatment if they start here.


