Tooth separation: A risk-free procedure?

Localized Bone Loss Resulted from an Unlikely Cause in an 11-Year-Old Child

“…Orthodontic elastics are widely used for diastema correction, separation of teeth for band placement, and crossbite correction [ 21 , 22 ]. These are left in place for a maximum of 1 week [ 19 ]. In cases where the elastic band is left over for a longer period, iatrogenic situations may occur [ 9 ], in which there is a great loss of bone and, in more severe cases, leads to loss of the dental element [ 19 ].…”

“…These are left in place for a maximum of 1 week [ 19 ]. In cases where the elastic band is left over for a longer period, iatrogenic situations may occur [ 9 ], in which there is a great loss of bone and, in more severe cases, leads to loss of the dental element [ 19 ]. In the clinical case presented, the patient was from a rural area and reported having no previous experience with dental care, which made the hypothesis on the iatrogenic placement of the elastic discarded, since in the cases reported in the literature this was due to failure of the surgeon dentist [ 9 – 14 ].…”

“…The radiography showed an extensive horizontal bone loss on the mesial and distal areas of tooth 44 ( Figure 3 ). After clinical examination and anamnesis, the probable diagnosis of pyogenic granuloma was discarded because no trauma or local irritant [ 19 ] was found or reported. In the first visit, the professional irrigated the site with sodium iodide 2% and hydrogen peroxide, and beyond that, subgingival scaling was made.…”