{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:55:52Z","timestamp":1753876552422,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T00:00:00Z","timestamp":1679961600000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Fibrosis is the overgrowth of connective tissue resulting from chronic inflammatory reactions induced by persistent tissue injury such as iatrogenic injury from prolonged use of orthodontic appliances. We report a case of a 19-year-old female who presented with a complaint of dental malocclusion. Her first presentation was 5\u00a0years prior when she received a Nance palatal arch appliance. However, she did not keep to her follow-up appointments and could not complete her treatment. Intraoral examination revealed the Nance palatal arch appliance completely buried in fibrotic tissue of the hard palate. The appliance was resistant to removal by conventional means and surgical exposure and removal were performed. A new Nance palatal arch appliance was fabricated and fitted and the patient continued to receive further orthodontic treatment. This report elucidates the importance of regular dental appointments for patients on orthodontic therapy to prevent complications and minimize the need for surgical interventions.<\/jats:p>","DOI":"10.1093\/jscr\/rjad120","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T01:57:41Z","timestamp":1680055061000},"source":"Crossref","is-referenced-by-count":0,"title":["Iatrogenic fibrotic encapsulation of NANCE palatal arch appliance in the hard palate and its surgical management: a case report"],"prefix":"10.1093","volume":"2023","author":[{"given":"Abimbola Y","family":"Adeloye","sequence":"first","affiliation":[{"name":"Department of Orthodontics , Child Dental Health, , Lagos , Nigeria"},{"name":"Lagos University Teaching Hospital , Child Dental Health, , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3354-9732","authenticated-orcid":false,"given":"Uchenna P","family":"Egbunah","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ifeoma L","family":"Utomi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics , Child Dental Health, College of Medicine, , Lagos , Nigeria"},{"name":"University of Lagos\/Lagos University Teaching Hospital , Child Dental Health, College of Medicine, , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"key":"2023032822303206800_","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/path.2277","article-title":"Cellular and molecular mechanisms of fibrosis","volume":"214","author":"Wynn","year":"2008","journal-title":"J Pathol"},{"key":"2023032822303206800_","first-page":"1","article-title":"Iatrogenic injury a forensic perspective","volume":"3","author":"Lau","year":"2005","journal-title":"Forensic Pathol Rev"},{"key":"2023032822303206800_","doi-asserted-by":"crossref","first-page":"427","DOI":"10.4103\/jisp.jisp_133_16","article-title":"Fibrotic encapsulation of orthodontic appliance in palate","volume":"21","author":"Muthu","year":"2017","journal-title":"J Ind Soc Periodontol"},{"key":"2023032822303206800_","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.1902\/jop.2005.76.10.1793","article-title":"Iatrogenic trauma to oral tissues","volume":"76","author":"Ozcelik","year":"2005","journal-title":"J Periodontol"},{"key":"2023032822303206800_","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/0002-9416(76)90077-4","article-title":"Cause and prevention of injuries to teeth and supporting structures during orthodontic treatment","volume":"69","author":"Zachrisson","year":"1976","journal-title":"Am J Orthod"},{"key":"2023032822303206800_","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/0022-3913(71)90089-8","article-title":"Gingival retraction techniques and their healing effect on the gingiva","volume":"26","author":"Xhonga","year":"1971","journal-title":"J Prosthet Dent"},{"key":"2023032822303206800_","doi-asserted-by":"crossref","first-page":"73","DOI":"10.4103\/2278-0203.119678","article-title":"Iatrogenic possibilities of orthodontic treatment and modalities of prevention","volume":"2","author":"Meeran","year":"2013","journal-title":"J Orthod Sci"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/3\/rjad120\/49647674\/rjad120.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/3\/rjad120\/49647674\/rjad120.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T03:12:13Z","timestamp":1728961933000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad120\/7086837"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,1]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad120","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2023,3]]},"published":{"date-parts":[[2023,3,1]]},"article-number":"rjad120"}}