Dentaltown July 2020 - 48

Fig. 3

Chart 1

Differential Diagnosis

Infectious
Fig. 4

Benign

Malignant
* Rhabdomyosarcoma

* Aggressive necrotizing
ulcerative gingivitis

* Langerhans cell
histiocytosis

* Juvenile aggressive
periodontitis

* Pyogenic granuloma
* Peripheral giant cell
granuloma

* Lymphoma
* Leukemia

* Peripheral
ameloblastoma

nonrestorable teeth, resulting in exfoliation
of 15 teeth in an average of 5.8 weeks without
any subsequent exposure of bone.7 In the past,
elastics were also used for dental extractions
in patients suffering from hemophilia.8 The
usage of elastics to intentionally extract teeth
remains an interesting area of potential
development.

4.

5.

6.

Conclusion
Unfortunately, this young patient lost
both of his permanent maxillary central
incisors because of a careless mistake and the
inability of family or providers to identify
the problem quickly enough to salvage
his dentition. Because of his age, he was
considered skeletally immature to receive
dental implants, and returned to the care
of his general dentist for fabrication of a
removable prosthetic to allow improved
aesthetics until further maturing and being
considered for dental implants. ■

7.

8.

Periodontitis-A Care Report." The Saudi Dental Journal,
24:49-53.
Stolk-Liefferink, S.A.; Dumans, A.G.; van der Meij, E.H.;
Knegt, P.P; van der Wal, K.G. (2008). "Oral Squamous Cell
Carcinoma in Children; A Review of an Unusual Entity."
International Journal of Pediatric Otorhinolaryngology,
72(1):127-31.
Monica Ghislaine Oliveira Alves, D.K. (2015). "Elastic
Band Causing Exfoliation of the Upper Permanent Central
Incisors." Hindawi Case Reports in Dentistry, ID: 186945.
Dimitrios Konstantonis, R.B. (2018). "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." American
Journal of Orthodontics and Dentofacial Orthopedics,
(154)835-847.
Eran Regev, D.M. (2008). "Atraumatic Teeth Extraction in
Bisphosphonate-Treated Patients." Journal Oral Maxillofacial Surgery, 66:1157-1161.
Carroll La Fleur Birch, B.M. (1939). "Tooth Extraction in
Hemophilia." Journal of the American Dental Association,
12:1933-1942.

References
1.

2.

3.

48

Wen-Jeng Huang, D.C. (1995). "The Midline Diastema: A
Review of Its Etiology and Treatment." Pediatric Dentistry
(17:3):171-179.
Simona Dianiskova, C.C.-B. (2016). "Tooth Loss Caused by
Displaced Elastic During Simple Preprosthetic Orthodontic
Treatment." World Journal of Clinical Cases, 4(9):285-289.
Al-Qutub, M. (2012). "Orthodontic Elastic Band-Inducing

JULY 2020 // dentaltown.com

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Dentaltown July 2020

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