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.
A lip bumper is a dental appliance used in orthodontics, for various purposes to correct a dentition by preventing the pressure from the soft tissue. Lip bumpers are usually used in orthodontic treatment where the patient has a crowded maxillary or mandibular teeth in an arch.