A case of localised periodontitis associated with a subgingival orthodontic separator is presented. The presence of this object was related to quite severe periodontal breakdown around an upper right first premolar tooth in an otherwise unsusceptible individual.
LeknesKN.The influence of anatomic and iatrogenic root surface characteristics on bacterial colonization and periodontal destruction: A review. J Periodontol.1997;68:507–16.
LindheJ, EricssonI.Effect of ligature placement and dental plaque on periodontal tissue breakdown in the dog. J Periodontol.1978;49:343–50.
4.
McQuillenJH.Care in the use of india-rubber rings. Dent Cosmos.1870;12:429–30.
5.
ZagerNI, BarnettML.Severe bone loss in a child initiated by multiple orthodontic rubber bands: a case report. J Periodontol.1974;45:701–4.
6.
WagonnerWF, RayKD.Bone loss in the permanent dentition as a result of improper orthodontic elastic band use: a case report. Quintessence Int.1989;20:653–6.
7.
ZilbermanY, ShteyerA, AzazB.Iatrogenic exfoliation of teeth by the incorrect use of orthodontic elastic bands. J Am Dent Assoc.1976;93:89–93.
8.
St GeorgeG, DonachieMA.Case report: orthodontic separators as periodontal ligatures in periodontal bone loss. Eur J Prosthodont Restor Dent.2002;10:97–9.