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Torturous path of an elastic gap band: Interdisciplinary approach to orthodontic treatment for a young patient who lost both maxillary central incisors after do-it-yourself treatment
- Source :
- American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 154(6)
- Publication Year :
- 2018
-
Abstract
- Spacing between the maxillary anterior teeth is a common concern for young patients and their parents. Patients often consider a diastema to be an annoying but minor problem; they might consult their general dentists for help, or try to address the issue themselves by applying elastic "gap bands." Moreover, parents, without any informed consent, sometimes accept this erroneous method as an easy and inexpensive treatment approach. A 9-year-old boy had severe acute periodontitis involving the maxillary central incisors caused by the placement of an elastic band and its apical migration. Despite periodontal and surgical interventions, the maxillary central incisors were finally extracted, and the patient started orthodontic treatment. The orthodontic treatment plan included maxillary lateral incisor substitution to replace the lost central incisors and mesialization of the maxillary posterior dentition. An interdisciplinary approach with excellent cooperation among the orthodontist, general dentist, and other dental specialists obtained an esthetically pleasing and optimized functional result. Treating the diastema between the anterior teeth with elastic gap bands and without fixed orthodontic appliances should be avoided. Patients should seek proper orthodontic advice for even small-scale orthodontic problems to prevent catastrophic outcomes, as exhibited in this case report.
- Subjects :
- Male
Orthodontics
General dentist
610 Medicine & health
10067 Clinic for Orthodontics and Pediatric Dentistry
Orthodontics, Corrective
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Orthodontic Appliances
Treatment plan
Maxilla
Acute periodontitis
Medicine
Humans
Maxillary central incisor
030212 general & internal medicine
Child
Periodontitis
Anterior teeth
Maxillary lateral incisor
Dentition
business.industry
Diastema
3505 Orthodontics
030206 dentistry
Incisor
Self Care
stomatognathic diseases
Tooth Extraction
business
Subjects
Details
- ISSN :
- 10976752
- Volume :
- 154
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics
- Accession number :
- edsair.doi.dedup.....455c1ef3baadc1e9769d3e0cdde64163