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Peri-operative second molar tube failure during orthognathic surgery: two case reports
N A Wenger1, N E Atack, C N Mitchell
1Department of Child Dental Health, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK. nick.wenger@bristol.ac.uk
Journal of Orthodontics
|June 5, 2007
Summary
Molar tubes offer orthodontic advantages but can fail during orthognathic surgery. Banding the distal terminal molar is crucial in orthognathic cases to prevent tube failure and surgical site contamination.
Area of Science:
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- Molar tubes are increasingly used in orthodontics due to improved bonding and ease of placement.
- They offer benefits like reduced clinical time and better periodontal health compared to traditional molar bands.
Observation:
- This paper reports two instances of second molar tube failure during orthognathic surgery.
- These failures occurred peri-operatively, highlighting a potential complication of using molar tubes in specific surgical contexts.
Findings:
- Molar tube use on terminal molars should be restricted in orthognathic surgery.
- Failure of molar tubes during surgery can lead to complications and compromise the surgical site.
Implications:
- Banding the distal terminal molar is recommended in orthognathic procedures to prevent molar tube loss.
- This preventive measure ensures treatment continuity and maintains the integrity of the surgical wound site.
