An easy method of attachment to an impacted canine
© Mittal et al.; licensee Springer. 2013
Received: 22 April 2013
Accepted: 22 April 2013
Published: 3 June 2013
Since many years, various bonding attachments have been used as a mode of traction for surgically exposed impacted teeth. It has always been a challenge to select an attachment considering predictability of the bonded attachment, mucogingival and periodontal conditions of the overlying tissues, and additional inventory requirement.
A 0.010-in. stainless steel ligature wire with eyelets at one end and spiral twisted at the other end was made and used as an attachment to guide surgically exposed impacted canine.
Orthodontic guided eruption of an impacted canine of a 16-year-old patient using this simple attachment with 1-year follow-up illustrates adequate amount of attached gingiva.
Ligature wire attachment is a simple inexpensive attachment that can be custom made without any need for additional inventory, besides being more comfortable to patients.
Over many years of orthodontic history, various methods of attachment have been used for bonding impacted tooth during closed eruption technique . However, various problems like failure of bonding or tearing of mucosa due to prominent attachment have remained consistent .
A simple and inexpensive attachment technique has been developed to reduce the bond failure rates and discomfort to the patient during orthodontic tooth movement of an impacted teeth. Low profile of the attachment and its excellent adaptability to tooth surface is advantageous specially during tunnel traction technique [3, 4] wherein impacted teeth has to pass between two normally placed cortical plates towards the center of the alveolar ridge .
Results and discussion
Ligature wire attachment is extremely easy to adapt to any impacted tooth with variable anatomy to provide a wide contact area for successful bonding. Since it is custom made with minimum projection outside the contour of crown, it is highly acceptable and comfortable for the patient.
Written informed consent was obtained from the patient for publication of this report and accompanying images.
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