{"title":"Canine avulsion: An extreme complication of a fixed mandibular lingual retainer","authors":"Parmjit Singh","doi":"10.1684/orthodfr.2022.101","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The use of fixed retainers at the end of a course of orthodontic treatment has become standard practice. The main complication that can occur with fixed retainers is the detachment of the wire from one or more teeth. A less common complication is unwanted tooth movement.</p><p><strong>Method: </strong>This article presents a patient with extreme tooth movement associated with a mandibular fixed retainer. Ten years after orthodontic treatment, a 26-year-old male sought treatment for post-orthodontic movement of the mandibular anterior six teeth. Despite the fixed retainer still being attached to all teeth, the apex of the right canine was completed avulsed labially. Severe labial recession was also present on the left lateral incisor. The canine was extracted, and the fixed retainer was removed. Significant root resorption identified on a panoramic radiograph contraindicated any further extensive orthodontic intervention.</p><p><strong>Discussion: </strong>This case highlights that clinicians and patients should be aware of this rare but serious complication.</p>","PeriodicalId":35927,"journal":{"name":"L'' Orthodontie française","volume":"aheadofprint aheadofprint","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"L'' Orthodontie française","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1684/orthodfr.2022.101","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1
Abstract
Introduction: The use of fixed retainers at the end of a course of orthodontic treatment has become standard practice. The main complication that can occur with fixed retainers is the detachment of the wire from one or more teeth. A less common complication is unwanted tooth movement.
Method: This article presents a patient with extreme tooth movement associated with a mandibular fixed retainer. Ten years after orthodontic treatment, a 26-year-old male sought treatment for post-orthodontic movement of the mandibular anterior six teeth. Despite the fixed retainer still being attached to all teeth, the apex of the right canine was completed avulsed labially. Severe labial recession was also present on the left lateral incisor. The canine was extracted, and the fixed retainer was removed. Significant root resorption identified on a panoramic radiograph contraindicated any further extensive orthodontic intervention.
Discussion: This case highlights that clinicians and patients should be aware of this rare but serious complication.
期刊介绍:
L’Orthodontie Française, organe officiel de communication de la Société Française d’Orthopédie Dento-Faciale, est un journal scientifique de référence depuis 1921, de diffusion internationale, indexé à Medline et référencé à l’Index Medicus et à Bibliodent. Le journal a pour vocation d’accueillir les travaux des membres de la SFODF, des conférenciers ayant communiqué lors des congrès de la Société, ou de tout travail soumis à l’approbation de son comité de rédaction, traitant de l’orthopédie dento-faciale ou de tout sujet en rapport avec cette discipline.