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.