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Orthodontic archwire in the nasal cavity. A case report
Ramona Nicolas1, Georg Eggers, Gerda Komposch
1Department of Orthodontics, Dental School, University of Heidelberg, Heidelberg, Germany. ramona.nicolas@web.de
Summary
An orthodontic archwire was unexpectedly found in a patient's nasal cavity after self-manipulation detached it. This case highlights the importance of recognizing and preventing foreign body complications in orthodontic treatment.
Area of Science:
- Dentistry
- Orthodontics
- Medical Imaging
Background:
- Orthodontic treatment involves the use of archwires to guide tooth movement.
- Accidental displacement or loss of orthodontic appliances can occur.
- Foreign body ingestion or inhalation is a rare but serious complication.
Observation:
- A patient self-manipulated and detached an orthodontic archwire from brackets.
- The detached archwire was not immediately recognized as lost.
- A routine end-of-treatment radiograph revealed the archwire in the patient's nasal cavity.
Findings:
- The asymptomatic presence of a foreign body (orthodontic archwire) in the nasal cavity.
- Successful management and removal of the misplaced archwire.
- The importance of thorough examination and patient education in preventing such incidents.
Implications:
- Highlights the potential for asymptomatic foreign body migration in orthodontic patients.
- Underscores the need for vigilance in diagnosing and managing foreign body complications.
- Emphasizes the critical role of routine radiographic evaluation in orthodontic treatment completion.
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