Localized Bone Loss Resulted from an Unlikely Cause in an 11-Year-Old Child

Abstract

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.

Periodontal repair for advanced bone loss caused by orthodontic elastic bands: A case report with 7‐year follow‐up and literature review

“…Early diagnosis and intervention are essential to prevent rapid decay and improve the prognosis. The diagnosis is challenging because the elastic gap is not radiopaque, and the patient is not aware of the loss of the band 15,16 . Orthodontic bands have been reported to be embedded in the gingiva for 7 years due to these reasons 17 .…”

“…The diagnosis is challenging because the elastic gap is not radiopaque, and the patient is not aware of the loss of the band. 15,16 Orthodontic bands have been reported to be embedded in the gingiva for 7 years due to these reasons. 17 Therefore, clinicians must be aware of the etiology.…”

"Ring-Like Mass" Surrounding the Cervix of a Primary Incisor. Report of a Challenging Case

“…On the other hand, lodgement of a circular foreign object in the cervix of a tooth has been only rarely reported [10][11][12][13][14]. FBs surrounding teeth may extend to the periodontal tissues, causing FB gingivitis [15].…”

“…Even though most of these FBs cause an innocent clinical appearance, more alarming cases associated with a reactive lesion have also been published [14].…”

“…Even though most of these FBs cause an innocent clinical appearance, more alarming cases associated with a reactive lesion have also been published [ 14 ]. From a diagnostic standpoint, although a provisional diagnosis of a FB is commonly given, the differential diagnosis could include other entities, such as HC [ 10 ].…”