Limits...
Elastic band causing exfoliation of the upper permanent central incisors.

Alves MG, Kitakawa D, Becker JB, Brandão AA, Cabral LA, Almeida JD - Case Rep Dent (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Departamento 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.

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.

No MeSH data available.


Related in: MedlinePlus

Initial radiographic findings.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4385623&req=5

fig2: Initial radiographic findings.

Mentions: Radiography revealed severe vertical bone loss in both upper incisors (Figure 2), which did not respond to electric or thermal pulp vitality tests. The diagnosis of an odontogenic abscess was ruled out due to the absence of trauma or caries in the teeth involved. However, the single location of the condition, its absence in posterior quadrants of the maxilla and/or mandible, its exudative appearance, and the radiographic demonstration of bone destruction were similar to the findings seen in Langerhans cell disease.


Elastic band causing exfoliation of the upper permanent central incisors.

Alves MG, Kitakawa D, Becker JB, Brandão AA, Cabral LA, Almeida JD - Case Rep Dent (2015)

Initial radiographic findings.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4385623&req=5

fig2: Initial radiographic findings.
Mentions: Radiography revealed severe vertical bone loss in both upper incisors (Figure 2), which did not respond to electric or thermal pulp vitality tests. The diagnosis of an odontogenic abscess was ruled out due to the absence of trauma or caries in the teeth involved. However, the single location of the condition, its absence in posterior quadrants of the maxilla and/or mandible, its exudative appearance, and the radiographic demonstration of bone destruction were similar to the findings seen in Langerhans cell disease.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Departamento 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.

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.

No MeSH data available.


Related in: MedlinePlus