Bergantin Bianca Tozi Portaluppe, Rios Daniela, Oliveira Daniela Silva Barroso, Júnior Edmêr Silvestre Pereira, Hanemann João Adolfo Costa, Honório Heitor Marques
Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
Department of Clinic and Surgery, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, 37130000 Alfenas, MG, Brazil.
Case Rep Dent. 2018 Jul 8;2018:3484513. doi: 10.1155/2018/3484513. eCollection 2018.
Periodontal diseases have several causes, amongst them, by foreign bodies. In this case report, an 11-year-old child who lived in a rural area and has never been treated by a dentist presented an extensive horizontal bone loss and edema on the region of tooth 44. The diagnosis of foreign body was obtained after biopsy, since an elastic band around the middle of the root tooth was found. The elastic band was not radiopaque, and the patient did not inform that she found the elastic band on the floor of the school and introduced the tooth by herself. Based on the case reported, it is concluded that anamnesis and clinical and radiographic examination are fundamental strategies to obtain the diagnosis, but sometimes, especially in children, there may be inconsistencies that can be elucidated by a biopsy.
牙周疾病有多种病因，其中包括异物所致。在本病例报告中，一名居住在农村地区且从未看过牙医的11岁儿童，其44号牙区域出现广泛的水平骨吸收和水肿。活检后诊断为异物所致，因为在牙根中部发现了一条橡皮筋。该橡皮筋不显影，且患者未告知是在学校地面发现橡皮筋并自行套在牙齿上的。基于该病例报告得出结论，问诊、临床及影像学检查是确诊的基本策略，但有时，尤其是在儿童中，可能会存在一些不一致的情况，可通过活检来阐明。
