Imaging of the dental implant site has become a mandatory protocol, to determine whether the patient can tolerate the surgical procedure. Prior to the invention of Cone Beam Computed Tomography (CBCT), dentists used orthopantomogram (OPG), but it had its limitations. CBCT offers improved accuracy and reduced distortion. The identification of underlying bony pathologies, assessment of bone density, proximity of vital anatomical structures, and prognosis of the implant to be inserted became easier with CBCT.

Orthodontic elastic bands are an important iatrogenic etiologic factor in the causation of periodontal attachment apparatus breakdown. Appropriate diagnosis and a well constructed treatment plan tailor-made to suit the requirements of the particular patient is imperative for management of periodontal lesions induced by subgingival retention of rubber band. There are conflicting reports regarding the reattachment and regeneration of lost periodontal supporting tissues in such cases. The present case report highlights the spontaneous reversal and correction of periodontal destruction due to iatrogenic orthodontic elastic band displacement deep into the subgingival tissues.