Findings may have long-term implications when acidic food substances are used during fixed orthodontic treatment. Further, in vivo studies are required to analyze the clinical effect of acidic mediums in the oral environment during orthodontic treatment.

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Management of protruded premaxillary segment in bilateral cleft lip and palate cases is a challenge to clinicians, due to various factors, like collapsed lateral alveolar segments and disrupted muscular ring. It is in practice that, the protruding premaxilla is pinned to vomer using a K-wire. The wire is generally removed after 6 to 8 weeks.A 16-year-old female patient with bilateral cleft lip and palate reported for orthodontic treatment. Upon routine investigations, presence of a K-wire that was fixed when patient was around 6 months old, and now had migrated intracranially was made. As K-wire is notorious for its migration to distant places and, that any further impending migration, may in future present a serious problem, the wire was removed after necessary precautions. This case report should be an eye opener and post a caution to general, medical, surgical practitioners and orthodontists.

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