Tooth loss caused by displaced elastic during simple preprosthetic orthodontic treatment.
The use of elastics to close a diastema or correct tooth malpositions can create unintended consequences if not properly controlled. The American Association of Orthodontists recently issued a consumer alert, warning of "a substantial risk for irreparable damage" from a new trend called "do-it-yourself" orthodontics, consisting of patients autonomously using elastics to correct tooth position. The elastics can work their way below the gums and around the roots of the teeth, causing damage to the periodontium and even resulting in tooth loss. The cost of implants to replace these teeth would well exceed the cost of proper orthodontic care. This damage could also occur in a dental office, when a general dentist tries to perform a simplified orthodontic correction of a minor tooth malposition. The present case report describes a case of tooth loss caused by a displaced intraoral elastic, which occurred during a simple preprosthetic orthodontic treatment.
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Simona
S
Dianiskova
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Chiara
C
Calzolari
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Marco
M
Migliorati
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Armando
A
Silvestrini-Biavati
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Gaetano
G
Isola
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Fabio
F
Savoldi
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Domenico
D
Dalessandri
Simona Dianiskova, Orthodontic Postgraduate Programme, Dental School, Slovak Medical University, 83303 Bratislava, Slovakia.
Corrado
C
Paganelli
Intraoral elastics; Orthodontics; Periodontal damage; Pre-prosthetic treatment; Tooth extraction
Angle Orthod. 2015 Mar;85(2):292-7
24978676
Orthod Fr. 2016 Mar;87(1):23-38
27083220
Am J Orthod Dentofacial Orthop. 2000 Aug;118(2):142-9
10935954
Int Orthod. 2016 Jun;14 (2):171-83
27080595
Angle Orthod. 2003 Apr;73(2):181-6
12725375
J Orthod. 2000 Sep;27(3):219-25
11099554
J Mol Histol. 2016 Apr;47(2):221-8
26956363
Orthod Fr. 2016 Mar;87(1):99-102
27083231
Am J Orthod Dentofacial Orthop. 1990 Apr;97(4):336-48
2321602
J Clin Diagn Res. 2016 Feb;10(2):ZC46-52
27042585
Eur J Orthod. 2013 Apr;35(2):236-43
22051535
Eur J Orthod. 2001 Aug;23 (4):393-402
11544789
Br J Orthod. 1986 Jul;13(3):147-50
3460631
Eur J Orthod. 2009 Feb;31(1):76-83
18832190
Am J Orthod Dentofacial Orthop. 2000 Dec;118(6):641-8
11113799
Eur J Orthod. 2015 Jun;37(3):297-307
25246605
J Contemp Dent Pract. 2016 Jan 01;17(1):32-7
27084860
Am J Orthod Dentofacial Orthop. 2011 Apr;139(4 Suppl):S133-44
21435531
BMC Pediatr. 2013 Jan 23;13:12
23343244
Acta Histochem. 2014 Jun;116(5):898-904
24698289
Am J Orthod Dentofacial Orthop. 1987 Jul;92 (1):50-69
3474885
Angle Orthod. 2005 Nov;75(6):1061-70
16448256
J Tenn Dent Assoc. 2015 Fall-Winter;95(2):34-6; quiz 37-8
27008768