# Eruption Compensation - Catching Erupting Teeth

# Question

I need to bring the 13 down and distally. My plan is to have eruption compensation to "catch" the tooth. I will place a button on the 13 and use a class 2 elastic to a precision cut on the 46 to try and drag it into the eruption commensation space. Does that make sense?? 

Or can the tray simply capture this tooth with a large abutment? 

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# Answer

[https://www.loom.com/share/9e6d3be65fd6401fa8ad7bb7669640b4?sid=df8ac39f-f232-42a8-8b94-60a9d60533de](https://www.loom.com/share/9e6d3be65fd6401fa8ad7bb7669640b4?sid=df8ac39f-f232-42a8-8b94-60a9d60533de)



**Eruption Compensation and Aligners**

When using clear aligners, dentists may face the decision of whether to include a partially erupted tooth in the aligner tray or to wait until the tooth has erupted further. Including the tooth too early might result in inadequate grip, leading to ineffective movement. Therefore, it is often recommended to allow the tooth to erupt more—typically until it’s 2/3 erupted or more —before attempting to capture it with the aligner when it’s a canine tooth and requires movement. 


Once the tooth has erupted sufficiently, it can be included in the aligner tray with an attachment that helps guide the tooth into its final position. This method ensures that the movement planned by the dentists is fully realized, enhancing the efficiency of the treatment.


**Principles of Treatment Efficiency**

One key principle in managing partially erupted teeth is to prioritize simplicity and efficiency. If the tooth can continue to erupt on its own without the need for immediate intervention, it is often best to avoid placing unnecessary demands on the patient, such as wearing elastics. The idea is to allow the tooth to come in far enough that when active treatment is applied, the desired movement can be achieved more predictably and with less time spent on adjustments.


In situations where most of the treatment is complete, and the primary focus is on waiting for canines or other teeth to erupt, it may be beneficial to have the patient wear aligners only at night. This approach can guide the lower canine into place gradually while allowing for the upper tooth to be captured with eruption compensation in the aligner.