Dental Case Analysis – Lower Arch Orthodontic Coil Spring for Space Management

Case Overview

This image shows active orthodontic treatment on the lower teeth using a metal coil spring attached to the archwire. Coil springs are commonly used to open or maintain space between teeth as part of alignment, crowding relief, or preparation for future tooth movement. The lips and surrounding soft tissue appear intact.

Scale All Teeth

• Lower anterior teeth visible with orthodontic appliance

• Coil spring engaged along the lower archwire

• Teeth show crowding with active repositioning

• No visible fractures or obvious decay in this image

• Primary focus is orthodontic mechanics and tooth movement

Full Analysis and Diagnosis

Clinical Findings

• Metal coil spring seated on the lower archwire

• Teeth undergoing controlled movement

• Mild lip tension due to appliance presence

• No visible ulceration, bleeding, or pus

• Gingival margins appear generally healthy

Interpretation

• Findings are consistent with orthodontic space opening or space maintenance

• Coil spring applies continuous force to separate or stabilize tooth positions

• Soft tissue response appears within expected limits

Probable Diagnosis

• Crowding or spacing issue under orthodontic correction

• Active coil spring orthodontic phase

(Clinical confirmation recommended.)

Deep Examination

Appliance Assessment

• Coil spring appears intact and evenly compressed

• Archwire properly engaged

• No visible breakage or displacement

Soft Tissue Assessment

• Lips and gingiva intact

• No signs of traumatic irritation

• Risk of irritation exists if hygiene is inadequate

Time Frame to Heal

With Proper Care

• Initial soreness after activation: 3–5 days

• Tissue adaptation: 7–14 days

• Space changes occur over weeks, depending on treatment plan

Without Proper Care

• Increased discomfort

• Plaque accumulation around spring

• Gingival irritation

• Potential delay in orthodontic progress

Process to Execute (14-Day Window)

Days 1–3

• Educate patient on coil spring purpose

• Reinforce brushing around spring and brackets

• Monitor soreness

Days 4–7

• Maintain consistent oral hygiene

• Observe for lip or gum irritation

• Apply orthodontic wax if rubbing occurs

Days 8–14

• Reassess comfort and appliance position

• Continue orthodontic adjustments as scheduled

• Address any persistent irritation

Issues That Will Scale Up If Untreated

• Gingival inflammation

• Plaque buildup around spring

• Increased discomfort

• Reduced appliance effectiveness

• Slower orthodontic correction

Clinical Comments

Coil springs are effective orthodontic tools but require careful hygiene and monitoring. When properly maintained, they safely create or preserve space with minimal soft-tissue impact.

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