Localized Periodontitis Induced by Rubber Elastic: Report of Case

Vandersall, David C.

doi:10.14219/jada.archive.1971.0474

Cited by 13 publications

(4 citation statements)

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“…Removal of teeth by means of elastic bands has been recommended for hemophiliac and psychiatric pa tients, [9][10][11] while accidental removal of teeth by elastic bands which slipped under the gingival tissues has been reported since the 19th century. [12][13][14] A number of case reports describe deep pockets with concomitant bone loss caused by trauma from elastic bands, [15][16][17][18] but dif ferences of opinion exist as to whether or not such pock ets heal after their removal. We were unable to find any histologic description of the lesion produced by elastic bands or its healing except for a dissertation by Kobler.…”

mentioning

confidence: 99%

Primate Model for Testing Periodontal Treatment Procedures: I. Histologic Investigation of Localized Periodontal Pockets Produced by Orthodontic Elastics

Caton

Zander

1975

Journal of Periodontology

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mentioning

confidence: 99%

Primate Model for Testing Periodontal Treatment Procedures: I. Histologic Investigation of Localized Periodontal Pockets Produced by Orthodontic Elastics

Caton

Zander

1975

Journal of Periodontology

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“…Instead, when used as separators the elastics should be wedged in between teeth in order to create space [6,7]. Finally, when elastics are used to move teeth, several measures can be taken in order to secure them in place, such as anchoring them to brackets, metal hooks or orthodontic bands where available [2,3,11].…”

Section: Discussionmentioning

confidence: 99%

“…Elastic bands have long been used in orthodontics in order to achieve a number of functions through intra-and intermaxillary traction [1]. The desired results include closure of diastemas, rotation of malpositioned teeth and correction of cross-bites [2][3][4][5]. In addition, elastics are frequently used in the form of orthodontic separators to create interdental space for the subsequent placement of metal bands [6,7].…”

Section: Introductionmentioning

confidence: 99%

Severe periodontal destruction caused by orthodontic elastic bands: A case report and review of the literature

Pepelassi¹,

Tsarouchi²

2019

Dent Oral Craniofac Res

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Background:The present article describes a case of extensive periodontal destruction caused by orthodontic elastic bands slipping apically into the periodontal ligament space.Case description: Twelve years after placement of the orthodontic elastic bands the patient presented with severe iatrogenic damage to the periodontium of all four maxillary incisors rendering this, to the best of our knowledge, the longest period reported during which elastics were left lodged in situ. Removal of the bands was possible through the orifices of established sinuses and non-surgical periodontal treatment was attempted. At a subsequent visit, open flap debridement followed. At six months post-operatively, reduction of pockets, resolution of inflammation and sealing of the sinuses had occurred.Conclusions: This report describes the pathology caused when orthodontic elastic bands get wedged into the periodontium and discusses the possible differential diagnosis. It emphasizes the importance of informing the patients on the correct use of elastics and suggests measures to prevent their displacement.

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“…The result is a deepening of the gingival sulcus, with possible loss of periodontal support. 20 The elastic ligatures submerged gingivally serve as foreign bodies, perpetuating the periodontal ligament detachment from the alveolar bone, so the clinicians should fully investigate the problem, to be sure that all the elastic ligatures were removed, and thus prevent further damage. 4 In view of damage caused to periodontal tissues by orthodontic elastic ligatures subgingivally retained, Vandersall and Varble 21 advised in 1978 that an extreme caution should be taken with their use until a harmless radiopaque medium could be safely added to them.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of plasticity and radiopacity of elastic separators by means of traction tests and radiography

Mendes¹,

Nascimento

Facholli

et al. 2012

Dental Press J. Orthod.

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INTRODUCTION: Elastic separators are widely used in the orthodontic clinic, in different sizes and thicknesses. Their function is to promote the separation between the teeth that will receive orthodontic bands, however, when subgingivally lost, they may cause periodontal problems and, ultimately, cause tooth extraction. OBJECTIVE: Concerned not only about their function but also about their properties, this experimental work was performed in order to evaluate, with a clinical perspective, the plasticity and radiopacity of the elastic separators, usually used in orthodontic clinic, through physical traction tests and radiographs. METHODS: Six different brands were analyzed and divided in two groups: extruded separators (American Orthodontics, GH, Morelli Blue and Morelli Green) and modular separators (Abzil, Dentaurum, GAC, Blue Modular Morelli and Green Modular Morelli). The plasticity was evaluated after physical traction tests, stretching the separators to 3 times their initial diameter. While the radiopacity was assessed using x-rays. RESULTS: When stretched to three times their inner diameter (ID), the extruded separators American Orthodontics, GH, Morelli Blue and Morelli Green and the modular ones Dentaurum, Morelli Blue Modular and Morelli Green Modular, presented elastic deformation, recovering their original inner diameter. The modular separators from Abzil and GAC showed permanent plastic deformation. With respect to radiopacity, the Abzil, American Orthodontics, Dentaurum, GAC and GH separators were radiopaque. CONCLUSION: Correlating the results concerning the plasticity and radiopacity, the separators which showed the most satisfactory results on both tests were, among the extruded separators, American Orthodontics and GH, and among the modular separators, GAC and Dentaurum.

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Localized Periodontitis Induced by Rubber Elastic: Report of Case

Cited by 13 publications

References 1 publication

Primate Model for Testing Periodontal Treatment Procedures: I. Histologic Investigation of Localized Periodontal Pockets Produced by Orthodontic Elastics

Primate Model for Testing Periodontal Treatment Procedures: I. Histologic Investigation of Localized Periodontal Pockets Produced by Orthodontic Elastics

Severe periodontal destruction caused by orthodontic elastic bands: A case report and review of the literature

Evaluation of plasticity and radiopacity of elastic separators by means of traction tests and radiography

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