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Article: Volume 12 Number 3 Page 106 - July 2019

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  Orth Update 2019; 12: 106-110

Orthodontics:  Methods of Applying Traction to Unerupted Maxillary Incisors and Safety Considerations

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Abstract: Unerupted maxillary incisors should be identified and managed promptly. When exposure and bonding of a gold chain to an unerupted tooth is indicated, there are multiple methods that can be used to apply traction to the tooth. This paper outlines the different methods available, their advantages and disadvantages and the important safety considerations. Treatment often utilizes small components which may pose an inhalation or ingestion risk if not used appropriately.

Clinical relevance: This article reviews the different methods available to align impacted upper incisors. It details the advantages and disadvantages of each method and highlights the associated safety considerations.

Author notes: Kate Parker, BDS(Hons), BA(Hons), MJDF RCS(Eng), MClinDent, MOrth RCS(Eng), Post-CCST in Orthodontics (email:, Priti Acharya, BDS(Hons), MFDS RCS(Eng), MFGDP(UK), MSc, MOrth RCS(Eng), FDS Orth RCS(Eng), Consultant Orthodontist and Joanne M Collins, BDS(Hons), MFDS RCS(Ed), MSc, MOrth, FDS Orth, RCS(Eng), Consultant Orthodontist, Eastman Dental Hospital, 256 Gray’s Inn Road, London, WC1X 8LD, UK.

Objective: To understand the different methods available to align impacted incisors, the advantages and disadvantages of each method and the associated safety considerations.