Severe bone loss caused by orthodontic rubber bands; management and nine-year follow-up: report of case.
This case reports the early diagnosis and treatment of an iatrogenic acute localized periodontitis arising from the incorrect use of orthodontic elastic rubber bands to close a maxillary midline diastema in an eight-year-old girl. The case illustrates the misdiagnosis and mismanagement of a transitional diastema in the "ugly duckling" stage of the mixed dentition. The nine-year follow-up shows that thorough periodontal and orthodontic management has allowed successful retention of both maxillary permanent central incisors, which had initially pathological grade 3 vertical mobility, little remaining alveolar bone, and a hopeless prognosis.
Olsen
C B
CB
Royal Dental Hospital of Melbourne, Australia.
Pollard
A W
AW
D000208:Acute Disease; D016301:Alveolar Bone Loss / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002648:Child; D003818:Dentition, Mixed; D003970:Diastema / Q000628:therapy; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D007180:Incisor; D008437:Maxilla; D009967:Orthodontic Appliances / Q000009:adverse effects*; D009971:Orthodontics, Corrective; D010518:Periodontitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D011379:Prognosis; D012408:Rubber; D014086:Tooth Mobility / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
D012408:Rubber