A clinical guide to orthodontics by Dai Roberts-Harry, Jonathan Sandy, British Dental

By Dai Roberts-Harry, Jonathan Sandy, British Dental Association

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A survey among British orthodontists found a 4% incidence of facial injury with headgear. Of these injuries, 40% were extra-oral and 50% of these were in the mid face. Two patients were blind as a result of headgear trauma. Eye injury is uncommon, but a serious risk and all available methods of reducing the risk of penetrating eye injury must be used. Every headgear and Kloehn Fig. 13 Safety Kloehn bow showing recurved loops for smooth distal ends to prevent injury if the bow becomes disengaged BRITISH DENTAL JOURNAL VOLUME 196 NO.

Two patients were blind as a result of headgear trauma. Eye injury is uncommon, but a serious risk and all available methods of reducing the risk of penetrating eye injury must be used. Every headgear and Kloehn Fig. 13 Safety Kloehn bow showing recurved loops for smooth distal ends to prevent injury if the bow becomes disengaged BRITISH DENTAL JOURNAL VOLUME 196 NO. 2 JANUARY 24 2004 Fig. 11 Ulcer in a patient’s lower lip from a long stretch of unsupported wire. Bumper sleeve has been placed along the wire to prevent further trauma Fig.

8 A posterior position of the condyle within the glenoid fossa cannot therefore be taken as proof of TMD. When orthodontic treatment involves the extraction of upper first premolar teeth and the retraction of the upper incisors some have suggested that this predisposes the patient to TMD by posteriorly positioning the condyle. Some light has been shed on this position in a study of 42 patients with a Class II Division 1 malocclusion treated by the extraction of both upper first premolars and fixed appliances.

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