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Article: Volume 48 Number 1 Page 69 - January 2021

  Dent Update 2021; 48: 69-70  Read article

Orthodontics:  An orthodontic spring coil and soft tissue complication

CPD:  CPD  0:24   (closed)      Self assess

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Abstract: This case report describes a scenario where a 14-year-old patient during orthodontic treatment at Solihull Hospital, West Midlands, presented with a rare soft tissue orthodontic complication. On routine examination, the spring coil from the orthodontic appliance was found to be located in the parotid gland duct. This was extracted by the oral and maxillofacial team at Solihull Hospital. The patient was followed post-operatively for any signs of sialadenitis, sialolithiasis and strictures. After 3 years of follow up, no post-operative complications were noted.

Clinical relevance: Soft tissue and orthodontic complications are common, usually due to trauma from sharp components. Clinicians should be aware of complications that can also occur.

Author notes: Baljeet K Nandra, BDS, MFDS RCS, Speciality Dentist Oral and Maxillofacial Surgery, University Hospitals Birmingham, Solihull Hospital, UK. Bikram S Thind, BDS, MSC, MOrthRCSEd, FFDRCSI, FDSRCS (Ortho) Consultant Orthodontist, Solihull Hospital, UK. email: bal.nandra@live.com

Objective: The reader should understand this complication with an orthodontic spring coil appliance.