Haematemesis is a worrying sign, generally related to acute upper gastrointestinal bleeding and potentially life-threatening condition. We present a case of a 15-year-old Caucasian girl who was belatedly diagnosed with oral bleeding because it was not related to the most common aetiologic factors. In fact, she was undergoing orthodontic treatment with a Nance palatal arch, an appliance used to reinforce anchorage during teeth movements. In her case haematemesis was a sign of inflammation and necrosis occurring in the palatal mucosa, under the acrylic button of palatal arch. The appliance was removed; antibiotic and Chlorhexidine 0.12% were recommended. After a 6-week follow-up, no pathological signs were present and the orthodontic treatment was resumed. Both physicians and dentists should be aware of the possible side effect of the Nance palatal arch use; this could help in achieving a diagnosis and providing a correct treatment. Orthodontists should avoid excessive compression over the palatal mucosa and check the appliance condition during every follow-up in order to avoid necrosis of the palatal mucosa.

Patini, R., Alessandri Bonetti, A., Camodeca, A., Staderini, E., Gallenzi, P., Haematemesis related to orthodontic treatment with Nance palatal arch: a case report, <<JOURNAL OF ORTHODONTICS>>, 2018; (1): 1-4. [doi:10.1080/14653125.2018.1445505] [http://hdl.handle.net/10807/118964]

Haematemesis related to orthodontic treatment with Nance palatal arch: a case report

Patini, Romeo;Staderini, Edoardo;Gallenzi, Patrizia
2018

Abstract

Haematemesis is a worrying sign, generally related to acute upper gastrointestinal bleeding and potentially life-threatening condition. We present a case of a 15-year-old Caucasian girl who was belatedly diagnosed with oral bleeding because it was not related to the most common aetiologic factors. In fact, she was undergoing orthodontic treatment with a Nance palatal arch, an appliance used to reinforce anchorage during teeth movements. In her case haematemesis was a sign of inflammation and necrosis occurring in the palatal mucosa, under the acrylic button of palatal arch. The appliance was removed; antibiotic and Chlorhexidine 0.12% were recommended. After a 6-week follow-up, no pathological signs were present and the orthodontic treatment was resumed. Both physicians and dentists should be aware of the possible side effect of the Nance palatal arch use; this could help in achieving a diagnosis and providing a correct treatment. Orthodontists should avoid excessive compression over the palatal mucosa and check the appliance condition during every follow-up in order to avoid necrosis of the palatal mucosa.
2018
Inglese
Patini, R., Alessandri Bonetti, A., Camodeca, A., Staderini, E., Gallenzi, P., Haematemesis related to orthodontic treatment with Nance palatal arch: a case report, <<JOURNAL OF ORTHODONTICS>>, 2018; (1): 1-4. [doi:10.1080/14653125.2018.1445505] [http://hdl.handle.net/10807/118964]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/118964
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