Systemic Treatment of Orthodontic Elastic Band-Induced Periodontitis: A Case Report

Area of Science:

• Dentistry
• Periodontology
• Orthodontics

Background:

• Immature permanent teeth are susceptible to damage from orthodontic complications.
• Severe periodontitis can compromise the long-term prognosis of developing teeth.
• Iatrogenic injuries from orthodontic appliances require prompt and specialized management.

Purpose of the Study:

• To present a case study on managing severe periodontitis in an immature permanent tooth.
• To evaluate the efficacy of a multidisciplinary treatment approach in resolving iatrogenic periodontal issues.
• To emphasize the importance of timely intervention in pediatric dental trauma.

Main Methods:

• A comprehensive assessment including clinical examination and radiographic evaluation was performed.
• A multidisciplinary team involving periodontists and orthodontists devised a treatment plan.
• Treatment involved non-surgical periodontal therapy and orthodontic management to address the iatrogenic cause.

Main Results:

• The treatment successfully arrested the progression of severe periodontitis.
• Significant reduction in periodontal inflammation and probing depths was observed.
• The immature permanent tooth showed signs of periodontal healing and stability.

Conclusions:

• A multidisciplinary treatment (MDT) approach is highly effective for managing severe periodontitis in immature permanent teeth caused by iatrogenic factors.
• Early diagnosis and intervention are crucial for favorable outcomes in such cases.
• This case underscores the importance of collaborative dental care in resolving complex orthodontic-related complications.