Among the myriad emergencies that could arise in the dental clinical setting there are a few that occur occasionally despite being entirely preventable. Ingestion or aspiration of dental materials, appliances, or instruments comprises this category. Regardless of incidence, foreign body ingestion or aspiration episodes are recognized as potential complications in the specialty of orthodontics. Despite their infrequent occurrence, the morbidity from a single incident and the amount of specialty medical care that may be needed to manage such incidents is too high to ignore. There is also the associated risk of malpractice litigation given the fact that these incidents are preventable. At present, no clear guidelines exist regarding prevention of this emergency in practice. This article attempts to review relevant literature and aims to formulate certain recommendations based on best available evidence to minimize the incidence of such events, while also suggesting guidelines toward making their management more effective. A flow chart outlining management options and strategies to aid the clinician in the event of such an emergency is also presented.
Awell finished orthodontic case is a result of precise bracket positioning during initial bonding. Orthodontists strive for accurate positioning of brackets so that we can avoid / minimize finishing arch wire bends. During the Bonding procedure, placing the bracket on tooth surface and then adjusting it to ideal position is time-consuming, also bracket displacement will reduce the bond strength. Therefore, to avoid these drawbacks this modified bracket holder with magnifying lens gives magnified image of tooth surface with precise visibility, so that bracket placement can be accurate according to the tooth contour with respect to mesio –distal and vertical position of tooth.
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