JCO Journal of Clinical Orthodontics
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Eruption and Alignment of Impacted Teeth with Multi-Purpose Attachments

VOLUME 46 : NUMBER 08 : PAGES (486-490) 2012

NIKHIL VASHI, MDS

BHUMA VASHI, MDS

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A surgically exposed impacted tooth is usually brought into the arch using a bonded attachment such as a Begg bracket, a cleat or button, or a Monkey Hook.[1] We have found our Multi-Purpose Attachment (MPA) to be useful in such cases because its extremely low profile avoids gingival trauma.[2] The patient also experiences less irritation to the lips, tongue, and buccal mucosa.

The MPA is a small, P-shaped bonded attachment, only .4mm thick at its base and 1mm thick at the lumen (Fig. 1A,B), with a flat base for incisors and a curved base for canines, premolars, and molars. A hook can be formed by passing a strand of ligature wire through the lumen of the MPA and twisting it (Fig. 1C).

The following case shows the attachment's use for eruption of an impacted central incisor and canine in a young patient. . . .

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