Management of palatal entrapment of mini-implant supported pendulum appliance: A case report

Abstract

This case report describes the surgical management of mucosal entrapment of a mini-implant-supported molar distalization appliance.A 17-year-old female patient was referred for removal of a implant-supported pendulum appliance entrapped in the palatal mucosa, which is used for molar distalization by the Department of Orthodontics. The clinical findings suggested that the overlying soft tissue was non-inflammatory and occurred due to forceful impingement of the wire component on the palatal mucosa.Surgical intervention was planned for removal of the mucosal entrapped appliance. A V-shaped incision was made under local anesthesia to expose the wire. The Appliance was completely removed, and silk sutures were placed for proper primary closure. Healing was uneventful, with minimal discomfort.While there are risks associated with orthodontic treatment with fixed and removable appliances, they can be avoided by adopting the required measures during treatment and educating patients about their responsibilities.