J. Orthod.
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Journal of Orthodontics, Vol. 34, No. 3, 154-157, September 2007 doi:10.1179/146531207225022131
© 2007 British Orthodontic Society

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Clinical Section

Ingestion of a quadhelix appliance requiring surgical removal: a case report

J. J. Allwork

Wythenshawe Hospital, Manchester, UK

I. R. Edwards

Birmingham Dental Hospital, Birmingham, UK

I. M. Welch

Wythenshawe Hospital, Manchester, UK

Address for correspondence: Mr J. J. Allwork, FTTA, Orthodontics, Wythenshawe Hospital, Southmoor Road, Manchester M23 9LT, UK. Email: john.allwork{at}smuht.nwest.nhs.uk


   Abstract

This report presents an unusual case, whereby a 13-year-old Down’s syndrome boy accidentally swallowed a removable quadhelix appliance that subsequently required surgical removal. The paper discusses management strategies for patients who have accidentally swallowed components of their orthodontic appliance. It also highlights the need for orthodontists to consider limited objective treatment options for certain patient groups.

Key words: Ingested orthodontic components, surgical intervention, special needs orthodontics







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