Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Dentistry
Volume 2015 (2015), Article ID 186945, 4 pages
http://dx.doi.org/10.1155/2015/186945
Case Report

Elastic Band Causing Exfoliation of the Upper Permanent Central Incisors

1Departamento de Biociências e Diagnóstico Oral, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil
2Departamento de Ciências Sociais e Odontopediatria, Instituto de Ciência e Tecnologia, Universidade Estadual Paulista (UNESP), Avenida 777 Engenheiro Francisco José Longo, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil

Received 16 December 2014; Revised 8 March 2015; Accepted 8 March 2015

Academic Editor: Gilberto Sammartino

Copyright © 2015 Monica Ghislaine Oliveira Alves et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. This study reports a case in which elastic band use culminated in the loss of the incisors. Case Report. An 11-year-old white girl was seen complaining of pain, with purulent discharge and severe tooth mobility. The bone destruction detected radiographically in the region, despite its single location and absence in posterior quadrants of the maxilla and/or mandible, was similar to that observed in Langerhans cell disease. To our surprise, an elastic band involving the midportion of the roots of the two upper central incisors was found during biopsy. The debris was removed and a metal wire was placed in permanent maxillary right and left incisors. The patient was followed up, but no improvement in tooth mobility was observed. Bone loss increased, and internal resorption and root exposure occurred, which culminated in the extraction of permanent maxillary right and left incisors. Conclusion. The present case highlights the fact that professionals sometimes are confronted by anamnestic reports never seen before.