Sir, we write in response to the letter on orthodontic brackets for dental trauma.1While this may seem a viable alternative during the pandemic, it would not be advisable to have brackets and wires placed by general practitioners without the supervision of an orthodontist. There are a multitude of considerations to be made before these can be included as a part of emergency care. Previous studies have shown that orthodontic splinting following trauma leads to an increase in pulp canal obliteration when compared to conventional splinting,2,3and with intruded teeth the pulp survival prognosis becomes worse.4
References
Lee J, Dale C, Acharya S, Shathur A.Orthodontic brackets for dental trauma. Br Dent J 2020; 229: 760.
Andreasen F M. Pulpal healing after luxation injuries and root fracture in the permanent dentition. Endod Dent Traumatol 1989; 5: 111-131.
Mackie I C, Warren V N. Dental trauma: 3. Splinting, displacement injuries, and root fracture of immature permanent incisor teeth. Dent Update 1988; 15: 332-335.
Andreasen F M, Zhijie Y, Thomsen B L, Andersen P K. Occurrence of pulp canal obliteration after luxation injuries in the permanent dentition. Endod Dent Traumatol 1987; 3: 103-115.
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Marya, A., Venugopal, A. Brackets caution. Br Dent J 230, 189 (2021). https://doi.org/10.1038/s41415-021-2759-8
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DOI: https://doi.org/10.1038/s41415-021-2759-8
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British Dental Journal (2021)