Periodontal surgical therapy for orthodontic fixed appliance complications

Using an orthodontic fixed appliance without considering the force and pressure of any activation will cause overloading of the teeth. Excessive force and pressure can result in bone resorption in the buccal and lingual areas of the jaw as well as deepening of the pockets, recession, and mobility of the teeth. Performing periodontal surgery on the mandible by augmenting a mixture of bone substitute materials to enhance bone density and reduce pocket depth and teeth mobility. A 35-year-old woman came to RSKGM U I complaining of mobile anterior lower teeth due to orthodontic treatment. Intraoral showed that the appliance had been fixed at the mandible for three years. Upon clinical examination, gingival recessions were found around the teeth and deepening of the pockets was observed at the mandible. A non-activated fixed appliance was used as a splint in an open flap debridement simultaneously with guided tissue regeneration using a combination of a demineralized freeze-dried bone allograft (DFDBA) and a xenograft, and the appliance was covered with a resorbable dental membrane. The preliminary evaluation found a decrease in the pocket depth, a reduction in teeth mobility and no differences in gingival recession.