The missing orthodontic elastic band, a periodontic-orthodontic dilemma

Vandersall, David C.; Varble, David L.

doi:10.14219/jada.archive.1978.0354

Cited by 13 publications

(9 citation statements)

References 2 publications

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“…While the use of an elastic separator can adequately and simplistically create room for mo-lar intrusion in the absence of partial fixed appliances, there is the risk that the separating ring can slip subgingivally, resulting in periodontal damage. [28][29][30] The orthodontist should remove the separator once molar intrusion becomes clinically evident. Whether overerupted maxillary first molars can be intruded within the maxillary sinus floor without apical root resorption is controversial.…”

Section: Discussionmentioning

confidence: 99%

Intrusion of Overerupted Upper First Molar Using Two Orthodontic Miniscrews

Kravitz

Kusnoto

Tsay

et al. 2007

The Angle Orthodontist

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Loss of the mandibular first molar often leads to the overeruption of the opposing maxillary first molar, resulting in occlusal interference, loss of periodontal bony support, and inadequate room to restore the mandibular edentulous space. Without orthodontic molar intrusion or segmental surgical impaction, restoring the posterior occlusion often entails the need for significant reduction of maxillary molar crown height, with the potential need for costly iatrogenic root canal therapy and restoration. The literature has cited successful maxillary molar intrusion with minor prosthodontic reduction using palatal orthodontic miniscrews and buccal zygomatic miniplates. In this report, the authors present successful maxillary molar intrusion with two orthodontic miniscrews in a patient with extreme dental anxiety and significant dental erosion due to gastric reflux. Using two orthodontic miniscrews for skeletal anchorage to intrude the maxillary molar simplified the orthodontic treatment by eliminating the need for extensive surgery, headgear, and intraoral multiunit anchorage and preserved indispensable tooth enamel. The clinical results showed significant intrusion through the maxillary sinus cortical floor while maintaining periodontal health, tooth vitality, and root length.

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Section: Discussionmentioning

confidence: 99%

Intrusion of Overerupted Upper First Molar Using Two Orthodontic Miniscrews

Kravitz

Kusnoto

Tsay

et al. 2007

The Angle Orthodontist

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“…The periodontal destruction caused by orthodontic elastic bands could be iatrogenic [ 73 ]. There are only few published reviews of the literature and case studies in the recent years, reporting the effect of orthodontic elastic bands that are retained in the gingival tissues [ 74 ].…”

Section: Iatrogenic Damage From Elasticsmentioning

confidence: 99%

Iatrogenic Damage to the Periodontium Caused by Orthodontic Treatment Procedures: An Overview

Rafiuddin¹,

Yg²,

Biswas³

et al. 2015

TODENTJ

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In orthodontic treatment, teeth are moved in to new positions and relationships and the soft tissue and underlying bone are altered to accommodate changes in esthetics and function. Function is more important than esthetics. The speciality of orthodontics has in addition to its benefits, complications as well as risks associated with its procedures. However the benefits outweigh the risks & complications in most of the treatment cases. Few of the unwanted side effects associated with treatment are tooth discolorations, enamel decalcification, periodontal complications like open gingival embrasures, root resorption, allergic reactions to nickel & chromium as well as treatment failure in the form of relapse.

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“…Previous publications have suggested that the chance of tooth loss in iatrogenic localised periodontitis is high and referred to as 'bloodless extraction'. 5,6 An inadvertently applied rubber band tends to creep towards the apex due to the anatomical shape of the crown and the conical nature of the roots. When a rubber band slides beneath the gingival margin, it squeezes the teeth together and temporarily closes the central diastema.…”

Section: Discussionmentioning

confidence: 99%

“…Early in the 1970s, several cases were reported of severe periodontal damage caused by uncontrolled elastic application. Despite the low incidence, the prognosis is poor 5,6 and, sadly, some practitioners currently still use inappropriate mechanics to close a central diastema, 7,8 resulting in pulp necrosis and tooth exfoliation.…”

Section: Introductionmentioning

confidence: 99%

Two-phase treatment of iatrogenic periodontitis: an eight-year follow-up

Zhao

Yan

et al. 2018

Australasian Orthodontic Journal

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The mixed dentition is often accompanied by transient malocclusions, such as a midline diastema. The general principle is to monitor development to ascertain the appropriate timing of possible intervention. The present clinical article reports the case of a seven-year-old boy who suffered from severe iatrogenic periodontitis of the maxillary incisors due to direct closure of a diastema by a rubber band. The incisors survived and exhibited periodontal and pulpal health at an eight-year review. Carefully-sequenced interdisciplinary management and co-operation, appropriate biomechanics aided by temporary anchorage devices, and a longterm follow-up are noted as key factors determining success when clinicians encounter such challenges.

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The missing orthodontic elastic band, a periodontic-orthodontic dilemma

Cited by 13 publications

References 2 publications

Intrusion of Overerupted Upper First Molar Using Two Orthodontic Miniscrews

Intrusion of Overerupted Upper First Molar Using Two Orthodontic Miniscrews

Iatrogenic Damage to the Periodontium Caused by Orthodontic Treatment Procedures: An Overview

Two-phase treatment of iatrogenic periodontitis: an eight-year follow-up

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