Orthodontic Tips April 7, 2014

Orthodontic Tips April 7, 2014

This is a new patient I saw today.

1. Notice the 31 is displaced labially in the dental arch in the picture on the left.
2. Notice the loss of attached gingival on the labial of the 31 in the picture on the right.

The history of this event is that the lingual wire was detached several years ago from the 31 and was rebonded without moving the 31 back to its proper position.
That’s why it lost labial bone and needs a gingival graft at this point.

When lingual wires break down, and they almost always do, it’s best to have them removed and replaced with a removable retainer that moves the teeth back into ideal position before rebonding it.
Combined pic of loss of attached gingiva

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