Severe Gingival Recession Caused by Orthodontic Rubber Band: A Case Report

The destructive effects of improper use of orthodontic elastic bands are well documented in the dental literature. Numerous cases of iatrogenic periodontal destruction have been reported since 1870. Despite these well-documented hazards, such incidents still occur. This case report describes a patient who was refered to a dentist by his orthodontist for closing the residual midline diastema by composite resin. However, the clinician used an elastic band to close the diastema for better results; thereafter, he restored the lateral teeth. However, a subgingivally hidden elastic band migrated apically and destroyed both the peridontal ligament and the alveolar bone, with subsequent gingival recession. This report describes the approach that was used to save the involved teeth and the root coverage procedure.