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Tissue necrosis under a Nance palatal arch: a case report.

Zak C Sullivan1, Jayne E Harrison1

  • 1a Orthodontic Department , Liverpool University Dental Hospital , Liverpool , UK.

Journal of Orthodontics
|June 13, 2017
PubMed
Summary

The Nance palatal arch can cause severe oral health issues like tissue necrosis and bone exposure due to hygiene challenges. This case highlights potential complications and the need for careful monitoring and alternative treatment options.

Keywords:
Clinical case reportNance palatal archiatrogenic damagetissue necrosis

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Area of Science:

  • Orthodontics
  • Periodontology
  • Oral Surgery

Background:

  • The Nance palatal arch is used in orthodontics to prevent maxillary molar movement.
  • Maintaining oral hygiene around this appliance is challenging, potentially leading to complications.

Observation:

  • A 22-year-old male experienced palatal mucosa necrosis and exposed bone with the Nance appliance.
  • Long-term periodontal damage was observed.

Findings:

  • The case demonstrates severe iatrogenic damage associated with the Nance palatal arch.
  • Necrosis and bone exposure resulted from difficulties in maintaining appliance hygiene.

Implications:

  • This case underscores the risks of Nance palatal arch use and the importance of vigilant oral hygiene.
  • Alternative anchorage methods should be considered to mitigate such severe periodontal and mucosal damage.