Management of Embedded Lingual Holding Arch (Orthodontic Appliance) in Mandibular Arch by Electrocautery: A Case Report

Introduction: In dentistry and orthodontics, there is a potential risk of dental instruments, such as orthodontic brackets and wires, becoming accidentally lodged in the aerodigestive tract. Numerous complications related to the ingestion or aspiration of foreign objects have been reported in clinical practice. Case Report: A 19-year-old female patient, referred from the Department of Orthodontics to the Department of Periodontics, presented with a primary complaint of pain during chewing. The pain was attributed to an embedded lower lingual arch, an orthodontic appliance, which had become lodged due to a failure in the orthodontic treatment. Upon intra-oral examination, bands were observed on the lower first molars in both the right and left quadrants, with no visible signs of inflammation or infection. Radiographic assessment, specifically in the occlusal view, revealed the presence of a wire encircling the bone, indicating the orthodontic appliance's abnormal positioning. Conclusion: Accidental injuries involving foreign bodies during orthodontic treatment can lead to serious consequences, including the development of dental anxiety and a loss of trust in the orthodontist. To minimize these risks, orthodontists need to carefully evaluate the likelihood of small appliances being ingested, aspirated, or penetrating the oral cavity, as managing such incidents can be difficult within the limited, saliva-filled space of the mouth. These occurrences can have a profound psychological impact on both patients and their families, often leading to fear or reluctance toward future treatment. In many cases, resolving such complications requires the expertise of a skilled surgeon, who must be fully aware of the clinical situation to ensure appropriate management and care. Keywords: Lingual holding arch, orthodontic therapy, mucosal overgrowth