Damage to adjacent teeth
Due the normal angulations and curvatures of the cheek teeth reserve crowns in the rostro-caudal plane, and/or due to improper repulsion punch placement, the punch may damage adjacent teeth (Dixon et al. 2000), unless its position and angulation in therostro-caudal plane is carefully monitored by intra-operative radiography during repulsion. Damage to adjacent teeth can less commonly occur during sectioning of teeth with damaged clinical crowns or during dental luxation using an elevator and mallet when using the MITT. If the apical blood supply of adjacent teeth is iatrogenically damaged, this will cause death of the tooth.