From Volume 12, Issue 1, January 2019 | Pages 22-24
This case report describes the management of a 16-year-old female patient who presented with mental nerve paraesthesia which developed during orthodontic treatment. The diagnosis was determined based on history taken, clinical and radiographic examination. Treatment involved removal of fixed appliances in the lower right quadrant, a referral to the Oral and Maxillofacial Surgery department and regular follow-ups until full resolution of symptoms.
A fit and well 16-year-old female patient was referred to a local Specialist Orthodontist by her General Dental Practitioner (GDP) to correct her moderate upper arch crowding and mesiolabially rotated upper left lateral incisor. She presented with Class II division 2 malocclusion on a Class I skeletal base with average vertical proportions. There was no crowding in the lower arch and the lower left lateral incisor was absent. The orthodontic treatment commenced with upper and lower 3M Victory pre-adjusted edgewise fixed appliances and band placement on the upper and lower first molars. Glass Ionomer Cement (GIC) bite planes on the upper first molars were utilized to prevent occlusal interference. Upper 0.012” NiTi and lower 0.014” NiTi archwires were placed for initial alignment. Treatment continued with regular follow-up appointments and a progression of increasing diameter archwire and appliance adjustments according to the treatment plan. Five months into treatment the lower second molars were bonded with molar tubes and included in the 0.016” NiTi archwire.
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