PMC6057407_01
Adequate oral hygiene aspect.
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An 11-year-old girl with no pain complaint and adequate oral hygiene reported mobility on the 44 teeth (Figure 1).
Edema around the 44 region.
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Clinically, a reddish edema around the teeth, sessile, with an irregular surface, and no local irritant was found (Figure 2).
The radiographic image, where we can observe the extensive horizontal bone loss.
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The radiography showed an extensive horizontal bone loss on the mesial and distal areas of tooth 44 (Figure 3).
Excisional biopsy.
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The surgery started with anesthesia of the alveolar, lingual, and buccal nerve block, incision with scalpel blade, and tissue removal by excisional biopsy (Figure 4).
The orthodontic elastic band found.
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During the surgery, the foreign body, an orthodontic elastic band, was found around the root's tooth (Figure 5).
The elastic band and the tissue removed.
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The elastic band was removed (Figure 6), the root scaling was performed, and the soft tissues were sutured (Figure 7).
Immediate postoperative aspect.
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The elastic band was removed (Figure 6), the root scaling was performed, and the soft tissues were sutured (Figure 7).
Aspect after seven days postoperative.
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After 7 days, the patient returned for the suture removal, showing adequate healing (Figure 8).