Reversible Iatrogenic Periodontitis from Orthodontic Bands – Case Report
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Spontaneous Reversibility of an Iatrogenic Orthodontic Elastic Band-induced Localized Periodontitis Following Surgical Intervention – Case Report
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Sowmya Nettem, Sunil Kumar Nettemu, Kiran Kumar, Venkat Reddy, Pendyala Siva Kumar
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Spontaneous Reversibility of an Iatrogenic Orthodontic Elastic Band-induced Localized Periodontitis Following Surgical Intervention – Case Report
Year: 2012
Copyright (license): CC BY 4.0
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Summary of article contents:
Introduction
Orthodontic elastic bands can contribute significantly to periodontal attachment breakdown, leading to localized periodontitis when inadvertently retained in subgingival areas. This case study emphasizes the necessity of accurate diagnosis and individualized treatment planning to manage periodontal lesions caused by such orthodontic complications. Existing literature presents conflicting views regarding the potential for reattachment and regeneration of periodontal tissues affected by these foreign bodies, highlighting the need for further investigation in this area.
Spontaneous Reversal of Periodontal Lesions
This report documents a case of a 20-year-old female patient who experienced localized periodontal destruction following the displacement of an orthodontic elastic band into the subgingival space of her mandibular right first molar. Initial symptoms included gum swelling and pain, accompanied by significant periodontal pocket formation. After the identification of the elastic band was confirmed through surgical intervention, its removal resulted in complete resolution of the symptoms and restoration of periodontal health, suggesting that lost alveolar bone can regenerate upon expulsion of the offending material. This spontaneous correction emphasizes that, while some studies may indicate permanent damage, there are instances where complete periodontal healing can occur following the removal of the irritant.
Conclusion
The case emphasizes that localized periodontitis caused by retained orthodontic elastic bands may be reversible with appropriate surgical intervention and care. The findings support the idea that timely identification and removal of such foreign bodies can lead to the restoration of periodontal health, challenging prior notions that such damage is often irreversible. Continuous monitoring and education regarding the proper use of orthodontic appliances can reduce the occurrence of similar cases, underscoring the need for orthodontic materials that are more easily detectable radiographically to prevent future complications.
FAQ section (important questions/answers):
What role do orthodontic elastic bands play in periodontal issues?
Orthodontic elastic bands can cause localized periodontal attachment breakdown when retained subgingivally, leading to periodontal lesions and potential bone loss.
How can periodontal damage from elastic bands be managed?
Management requires proper diagnosis and a tailored treatment plan, which may include surgical intervention to remove the displaced bands and restore periodontal health.
Is it possible for periodontal tissue to regenerate after elastic band removal?
Yes, studies have shown that lost periodontal supporting tissues can regenerate after the offending elastic bands are removed and appropriate treatment is administered.
What should one do if they suspect elastic band displacement?
Immediate dental consultation is essential. A thorough examination, radiographic evaluation, and possibly surgical intervention may be required to address any complications.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Reversible Iatrogenic Periodontitis from Orthodontic Bands – Case Report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Hygiene (Hygienic):
Hygiene refers to practices that maintain health and prevent disease. In the context of the study, oral hygiene is particularly important for preventing periodontal issues. A satisfactory oral hygiene score was noted in the patient, highlighting the significance of hygiene in managing overall dental health.
2) Bleeding:
Bleeding is a critical indicator of periodontal health. In this case, bleeding was observed on probing, which is a common symptom associated with periodontal diseases. Effective management of gingival bleeding through proper treatment is essential to promote healing and improve oral health outcomes.
3) Study (Studying):
The study involves investigating the spontaneous correction of periodontal destruction caused by the misplaced orthodontic elastic band. It examines the outcomes of treatment following the removal of the foreign body, emphasizing its relevance to Clinical Periodontology.
4) Pain:
Pain is a symptom that often leads patients to seek dental care. In the described case, the patient's pain in the lower right back tooth area was associated with periodontal issues. Understanding the source of pain is crucial for establishing an appropriate treatment plan.
5) India:
India is relevant in this context as it denotes the geographical location where the clinical case was documented. The treatment procedures and protocols may vary regionally, emphasizing the importance of localized practices in dental care.
6) Table:
[see source text or glossary: table]
7) Post:
Post-operative care is essential for recovery after surgical procedures, such as the incision and drainage performed in this case. This includes following specific instructions for hygiene and medication to prevent complications after surgical interventions.
8) Swelling:
Swelling is a sign of inflammation or infection that often accompanies periodontal problems. In the present case, the patient reported swelling in the gum region, which was investigated and managed accordingly, highlighting the importance of addressing swelling during treatment.
9) Incision:
Incision refers to the surgical cut made to create access for procedures like drainage of abscesses. In this report, an incision was performed to retrieve the displaced orthodontic elastic band, demonstrating how incisions are critical in periodontal surgeries.
10) Shanti (Santi, Samti, Shamti):
[see source text or glossary: santi]
11) Discussion:
Discussion in the context of this case refers to the analysis of the findings, outcomes, and available literature on similar cases. It addresses the implications of iatrogenic factors in periodontal health and potential treatment pathways.
12) Antibiotic (Antibacterial):
Antibiotics were prescribed post-operatively to manage any potential infection resulting from the periodontal abscess. This is a standard practice in periodontal treatment to support healing and prevent complications.
13) Education:
Patient education is crucial in preventing orthodontic-related complications. Educating patients about oral hygiene practices, especially during orthodontic treatment, can help minimize risks associated with elastic bands.
14) Surface:
The surface of the teeth and gingiva is significant for the assessment of periodontal health. Treatment outcomes are often evaluated based on surface conditions, ensuring proper care and monitoring during recovery.
15) Family:
[see source text or glossary: family]
16) Nature:
[see source text or glossary: nature]
17) Thane:
Thane is mentioned in the context of the geographical reference where certain dental materials were sourced. Local considerations such as availability of resources can influence treatment methods and practices.
18) Visit:
A visit to the dental clinic is essential for follow-up care and monitoring recovery progress. Regular visits ensure that any complications can be addressed promptly and that periodontal health is maintained.
19) Silk:
Silk is mentioned in relation to the materials used for suturing the surgical site post-removal of the orthodontic band. The choice of suture material can affect healing outcomes and overall recovery post-surgery.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Reversible Iatrogenic Periodontitis from Orthodontic Bands – Case Report’. Further sources in the context of Science might help you critically compare this page with similair documents:
Bone, Treatment modalities, Oral hygiene, Foreign body, Foreign bodies, Pain and discomfort, Provisional Diagnosis, Case report, Periodontal health, Gingival index, Patient education, Surgical Procedure, Chief complaint, Local anaesthesia, Periodontitis, Tooth mobility, Oral Hygiene Index, Oral prophylaxis, Surgical Site, Radiographic evaluation, Gingival health, Severe bleeding, Bone loss, Alveolar bone, Dental extraction, Orthodontic therapy, Gingival bleeding, Periodontal tissue, Oral hygiene status, Apical displacement, Mucoperiosteal flap, Surgical exploration, Periodontal pocket, Post-operative instructions, Gingival, Careful monitoring, Bone fill, Subgingival calculus, Gingival sulcus, Bleeding On Probing, Gingival Swelling, Pocket depth, Periodontal abscess, Periodontal health status, Severe bone loss, Postoperative instructions, Mandibular molar, Periodontal attachment apparatus, Dental history, Periodontal lesion, Pulpal involvement, Foreign body reaction, Deep periodontal pocket, Periodontal probe, Periodontal attachment, Horizontal bone loss, Gingiva, Interrupted sutures, Orthodontic bands, Localized periodontitis, Oral implantology, Gingival sulcus bleeding, Gingival reattachment, Incidence and severity, Radiograph, Iatrogenic cause.