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Orthodontic elastic embedded in gingiva for 7 years
Shruti Tandon1, Abdul Ahad, Arundeep Kaur
1Department of Periodontics and Oral Implantology, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg, New Delhi 110002, India.
Case Reports in Dentistry
|August 29, 2013
Summary
Embedded orthodontic elastics can cause bone loss, but this case shows a surprising lack of inflammation after 7 years. Prompt removal and debridement led to complete gingival healing.
Area of Science:
- Dentistry
- Periodontology
- Orthodontics
Background:
- Iatrogenic embedding of orthodontic elastics in gingival tissues is a known complication.
- Prolonged retention can lead to inflammatory responses, including crestal bone loss and periodontal abscesses.
- Negligence in removing elastics can jeopardize tooth survival.
Purpose of the Study:
- To highlight a unique case of a long-term embedded orthodontic elastic.
- To document the clinical and radiographic findings associated with a retained elastic.
- To assess the outcome following removal and treatment.
Main Methods:
- A case report of a 23-year-old female with an orthodontic elastic embedded for 7 years.
- Clinical examination for signs of inflammation.
- Periapical radiography to assess bone loss.
- Surgical removal of the elastic and subgingival debridement.
Main Results:
- The embedded elastic showed no clinical signs of inflammation after 7 years.
- The elastic was removed easily without local anesthesia.
- Mild crestal bone loss was detected radiographically.
- Complete gingival healing occurred post-treatment.
Conclusions:
- Long-term embedded orthodontic elastics may not always elicit a significant inflammatory response.
- Prompt diagnosis and management are crucial for favorable outcomes.
- Subgingival debridement is effective in resolving post-removal sequelae.
