Headgear-Induced Temporary Pressure Alopecia

    September 2019 in “ Journal of Orthodontics ”
    Catherine Liu, Faisal Abbas, Jadbinder Seehra
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    TLDR A boy's hair grew back after he stopped using orthodontic headgear that caused temporary hair loss.
    The document reported on a 13-year-old boy who developed temporary pressure alopecia, a non-scarring hair loss, after wearing orthodontic headgear for four weeks. This condition, caused by mechanical pressure, led to localized hair loss and subsequent bullying at school, affecting the boy's psychosocial wellbeing. Upon stopping the use of the headgear, hair regrowth occurred, confirming the diagnosis. The case highlighted the need for healthcare providers to monitor for side effects of orthodontic devices and to educate patients about the risk of pressure alopecia, which does not respond to pharmacological treatments but can be managed by removing the source of pressure. Preventative measures and patient information during the consent process are crucial, as the psychological impact of this condition can be significant, especially in younger patients. The boy's alopecia resolved completely without dermatological intervention once the headgear was no longer used.
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