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Tooth separation: a risk-free procedure?
André da Costa Monini1, Murilo de Sousa Guimarães, Luiz Gonzaga Gandini Júnior
1School of Dentistry, Universidade Estadual Paulista, Araraquara, São Paulo, Brazil.
Summary
A child experienced severe tooth mobility and pain due to a hidden rubber separator, leading to extraction. This case highlights the importance of preventive measures to avoid iatrogenic dental complications.
Area of Science:
- Dentistry
- Oral Surgery
- Periodontology
Background:
- Iatrogenic injuries in pediatric dentistry can lead to significant complications.
- Early diagnosis and intervention are crucial for managing dental trauma and periodontitis.
Observation:
- A 12-year-old presented with tooth extrusion, pain, gingival bleeding, and localized periodontitis affecting the maxillary second premolar.
- Clinical examination and radiography failed to identify the cause of the symptoms.
Findings:
- Severe tooth mobility and extrusion necessitated extraction of the affected tooth.
- Post-extraction curettage of the socket uncovered a retained rubber separator as the etiological agent.
Implications:
- This case underscores the potential for retained foreign objects to cause severe dental pathology.
- Implementing strict preventive protocols is essential to minimize iatrogenic events and potential legal issues in dental practice.
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The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.