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Article: Volume 42 Number 2 Page 142 - March 2015

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  Dent Update 2015; 42: 142-143

Orthodontics/Oral Medicine:  Case Report: Transpalatal Arch Resulting in Soft Tissue Damage of the Tongue 3 Years Post-Orthodontic Treatment

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Abstract: Whilst transient effects of orthodontic appliances on the oral mucosa are well recognized, chronic lesions, persisting post therapy are unusual. We describe a persistent lingual mucosal defect related to a transpalatal arch (TPA) in a healthy 19-year-old female. The asymptomatic lesion is presently being monitored, however, surgical revision in the future may be requested by the patient if the area fails to remodel.

Clinical relevance: Soft tissue trauma to the tongue by anchorage reinforcing appliances may result in long-term effects that could require surgical management.

Author notes: Joe Noar, MSc, BDS, FDS RCS(Ed), FDS RCS(Eng), DOrth RCS(Eng), MOrth RCS(Eng), FHEA, Consultant/Hon Senior Lecturer, Orthodontic Unit, Division of Craniofacial and Development Sciences, Eva Woods, BDS, MPhil, MSc, MOrth RCS(Eng), FTTA Orthodontics, Ashford and St Peters NHS Trust and the Eastman Dental Hospital and Tim Hodgson, BDS MBBS, FDS FDS(OM), RCS MRCP(UK), FGDP(UK), Consultant/Honorary Lecturer in Oral Medicine, Clinical Lead for Oral Medicine, Special Care Dentistry and Orofacial Pain, Eastman Dental Hospital, UCLH Foundation Trust, London, UK.

Objective: To understand the possible long-term implications of fitting a transpalatal arch.