Nettem Sowmya, Kumar Nettemu Sunil, Kumar Kiran, Reddy Venkat, Siva Kumar Pendyala
Faculty Of Dentistry, Melaka-Manipal Medical College, Jalan Batu Hampar, Bukit Baru, 75150 Melaka, Malaysia.
Malays J Med Sci. 2012 Oct;19(4):77-80.
Orthodontic elastic bands are an important iatrogenic etiologic factor in the causation of periodontal attachment apparatus breakdown. Appropriate diagnosis and a well constructed treatment plan tailor-made to suit the requirements of the particular patient is imperative for management of periodontal lesions induced by subgingival retention of rubber band. There are conflicting reports regarding the reattachment and regeneration of lost periodontal supporting tissues in such cases. The present case report highlights the spontaneous reversal and correction of periodontal destruction due to iatrogenic orthodontic elastic band displacement deep into the subgingival tissues.
正畸弹力带是导致牙周附着装置破坏的一个重要医源性病因。对于因橡皮筋龈下滞留引起的牙周病变的处理,进行恰当诊断并制定符合特定患者需求的精心治疗计划至关重要。关于此类病例中丢失的牙周支持组织的再附着和再生,存在相互矛盾的报道。本病例报告强调了因医源性正畸弹力带移位至龈下组织深处而导致的牙周破坏的自发逆转和纠正。