Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2025; 13(20): 105685
Published online Jul 16, 2025. doi: 10.12998/wjcc.v13.i20.105685
Management of intrabony defects associated with the iatrogenic use of orthodontic elastic bands: A case report
Patricia A Montiel-López, Juan C García-Nuñez, Mari L Muro-Jiménez, Alma A Soto-Chávez, Vianeth M Martínez-Rodríguez, Ruth Rodríguez-Montaño, Alondra C Ruiz-Gutiérrez
Patricia A Montiel-López, Juan C García-Nuñez, Mari L Muro-Jiménez, Alma A Soto-Chávez, Vianeth M Martínez-Rodríguez, Alondra C Ruiz-Gutiérrez, Periodontics Program, Department of Integrated Dentistry Clinics, University Center of Health Sciences, University of Guadalajara, Guadalajara 44340, Jalisco, Mexico
Ruth Rodríguez-Montaño, Department of Health and Illness as an Individual and Collective Process, University Center of Tlajomulco, University of Guadalajara, Tlajomulco de Zuñiga 45641, Jalisco, Mexico
Author contributions: Montiel-López PA, García-Nuñez JC, Muro-Jimenez ML, and Ruiz-Gutiérrez AC contributed to the diagnosis, surgical treatment, and management of the patient; Montiel-López PA, Soto-Chávez AA, and Martínez-Rodriguez VM contributed to data acquisition and analysis; Rodríguez-Montaño R and Ruiz-Gutiérrez AC drafted and critically revised the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: The patient signed the informed consent form, fully aware of the use of the images for publication.
Conflict-of-interest statement: We report no conflicts of interest in managing and writing this case report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alondra C Ruiz-Gutiérrez, PhD, Periodontics Program, Department of Integrated Dentistry Clinics, University Center of Health Sciences, University of Guadalajara, Sierra Mojada 950, Guadalajara 44340, Jalisco, Mexico. alondra.rgutierrez@academicos.udg.mx
Received: February 4, 2025
Revised: February 22, 2025
Accepted: March 10, 2025
Published online: July 16, 2025
Processing time: 64 Days and 7.1 Hours
Core Tip

Core Tip: Intrabony defects caused by the iatrogenic use of elastic bands are undesirable. They can result in inflammation, suppuration, and persistent gingival bleeding; these effects, lead to bone degradation and can increase risks to the quality of life of teeth. In the present case, it was impossible to identify the duration in which the elastic bands were invaginated in the periodontal tissue; specifically, the bands may have been invaginated for many years, according to the patient's report. The use of guided tissue regeneration favored the reconstruction of the intrabony defects that were generated by these elastic bands. The use of elastic bands in orthodontics requires special care by both clinicians and patients to avoid iatrogenic effects.