title: Elastic band causing exfoliation of the upper permanent central incisors.
abstract: Objective. This study reports a case in which elastic band use culminated in the loss of the incisors. Case Report. An 11-year-old white girl was seen complaining of pain, with purulent discharge and severe tooth mobility. The bone destruction detected radiographically in the region, despite its single location and absence in posterior quadrants of the maxilla and/or mandible, was similar to that observed in Langerhans cell disease. To our surprise, an elastic band involving the midportion of the roots of the two upper central incisors was found during biopsy. The debris was removed and a metal wire was placed in permanent maxillary right and left incisors. The patient was followed up, but no improvement in tooth mobility was observed. Bone loss increased, and internal resorption and root exposure occurred, which culminated in the extraction of permanent maxillary right and left incisors. Conclusion. The present case highlights the fact that professionals sometimes are confronted by anamnestic reports never seen before.
authors: Departamento de Biociências e Diagnóstico Oral, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil.
authors: Monica Ghislaine Oliveira
authors: 0000-0002-3411-9443
authors: MG
authors: Alves
authors: Departamento de Biociências e Diagnóstico Oral, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil.
authors: Dárcio
authors: 0000-0002-4321-5306
authors: D
authors: Kitakawa
authors: Departamento de Ciências Sociais e Odontopediatria, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil.
authors: Joao Batista Macedo
authors: 0000-0003-1221-1158
authors: JB
authors: Becker
authors: Departamento de Biociências e Diagnóstico Oral, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil.
authors: Adriana Aigotti Haberbeck
authors: 0000-0003-0154-7393
authors: AA
authors: Brandão
authors: Departamento de Biociências e Diagnóstico Oral, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil.
authors: Luiz Antonio Guimarães
authors: 0000-0001-9305-1891
authors: LA
authors: Cabral
authors: Departamento de Biociências e Diagnóstico Oral, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil.
authors: Janete Dias
authors: 0000-0003-4596-9715
authors: JD
authors: Almeida