Management of intrabony defects associated with the iatrogenic use of orthodontic elastic bands:A case report  

作　　者：Patricia A Montiel-López Juan C García-Nuñez Mari L Muro-Jiménez Alma A Soto-Chávez Vianeth M Martínez-Rodríguez Ruth Rodríguez-Montaño Alondra C Ruiz-Gutiérrez 

机构地区：[1]Periodontics Program,Department of Integrated Dentistry Clinics,University Center of Health Sciences,University of Guadalajara,Guadalajara 44340,Jalisco,Mexico [2]Department of Health and Illness as an Individual and Collective Process,University Center of Tlajomulco,University of Guadalajara,Tlajomulco de Zuñiga 45641,Jalisco,Mexico

出　　处：《World Journal of Clinical Cases》2025年第20期109-117,共9页世界临床病例杂志(英文)

摘　　要：BACKGROUND The generation of intrabony defects due to the iatrogenic use of elastic bands is an undesirable situation that can result in persistent gingival inflammation with subsequent bone degradation,thus ultimately leading to tooth loss.CASE SUMMARY This clinical case involved a 27-year-old male patient who complained of persistent inflammation and bleeding in the upper anterior region of the gums,despite having undergone dental cleaning for at least 4 years.The dental and medical history indicated the use of removable orthodontic appliances for 8 years,after which braces were placed for 2 years.The intraoral evaluation revealed inflammation and localized suppuration in teeth 11 and 12.Measurements of 2-7 mm for probing depth and 1-5 mm for clinical attachment loss were detected,and combined bone loss was observed via radiographs.Based on the clinical and radiographic findings,localized stage III,grade C periodontitis was diagnosed.During subgingival debridement,two elastic bands emerged around the involved teeth.The bone defects persisted;therefore,they were surgically addressed using a papilla preservation flap and guided tissue regeneration(GTR).CONCLUSION The use of elastic bands of various sizes and elasticities is often essential in multiple orthodontic treatments.However,it is crucial to perform a thorough check-up for each patient during treatment and at the end of treatment to remove any remaining residue of resin,metal bands,or orthodontic bands.Additionally,it is imperative to inform the patients of the importance of attending their follow-up appointments.The use of elastic bands in orthodontics requires special care;moreover,GTR is a management option for intrabony defects associated with the iatrogenic use of bands.

关 键 词：Iatrogenic periodontal destruction Orthodontic elastic bands Intrabony defects Guided tissue regeneration Case report 

分 类 号：R783.5[医药卫生—口腔医学]