Soft tissue impactions associated with orthodontic appliances: clinical insights into periodontal intervention cases involving quad helix, coil spring, and temporary anchorage devices

• Author Details:   
• Divya Manikantan
• Ardra CK
• Bindu R Nayar
• Koshi Philip

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Orthodontic appliances such as quad helix, NiTi coil springs, and temporary anchorage devices (TADs) are indispensable tools in modern orthodontics. However, their prolonged intraoral presence, improper positioning, and lack of patient compliance can occasionally result in soft tissue complications, including mucosal overgrowth and impaction. This case series presents three distinct presentations of soft tissue impaction around orthodontic appliances; each managed with periodontal intervention. It highlights the etiopathogenesis, clinical manifestations, and management strategies while underscoring the critical role of the periodontist in early detection and minimally invasive resolution of such complications.