Lip Bumper in Orthodontics - A lip bumper can be used for expansion of the teeth in the mandibular arch. - Treatment options for tooth-size discrepancy include extractions of teeth or expansion of the arch. - A lip bumper is placed in front of the anterior teeth to keep the pressure of the lips and cheeks away from the front and back teeth respectively. - Lip bumpers can be used to reduce lower anterior crowding, increase arch circumference, and move the permanent lower molars distally for anchorage.

Side-effects of Lip Bumpers - Lip bumpers can cause disruption in the eruption pattern of the 2nd molars in the mandibular arch. - The pressure of the lips on the lip bumper can cause the 1st molar to tip distally, leading to impaction of the 2nd molar.

Korn Lip Bumper - The Korn lip bumper is a maxillary lip bumper developed by Korn and Shapiro. - It is made up of .040in stainless steel wire and involves multiple loops. - This lip bumper sits high in the maxillary vestibule and 2-3mm away from the attached gingiva. - It is often used with a bite plate.

Advances in Lip Bumpers - Lip bumpers can now be used with mini-screws for distalization of the upper back teeth. - This allows for more controlled movement of the teeth. - The wire of the lip bumper is kept 1.5 - 2.0mm from the front surface of the anterior teeth. - The use of lip bumpers with mini-screws has shown promising results in orthodontic treatment. - Flexible lip bumpers have also been developed for arch development.

References - Akwan, Yulie Emilda; Paramita, Ayulistya; Juniar, Eriza (2019-04-29). The Use of Lip Bumper in Lip Sucking Treatment. - Werner, S. P.; Shivapuja, P. K.; Harris, E. F. (1994-01-01). Skeletodental changes in the adolescent accruing from use of the lip bumper. - Grossen, J.; Ingervall, B. (1995-04-01). The effect of a lip bumper on lower dental arch dimensions and tooth positions. - Mendes Júnior, Tadeu Evandro; Lima, Anderson Barbosa; Mendes, Tadeu Evandro; Mendes, Camila Vas Tostes; Rosário, Henrique Damian; Paranhos, Luiz Renato (2015-01-01). Distalization controlled with the use of lip-bumper and mini-screw as anchorage: a new approach. - Ferro, Fabrizia; Funiciello, Gloria; Perillo, Letizia; Chiodini, Paolo (2011-05-01). Mandibular lip bumper treatment and second molar eruption disturbances.