scholarly journals Management of traumatically intruded permanent tooth with 30-month follow-up: A case report

Intrusive luxation often results in severe damage to the tooth, periodontium, and pulp tissue. Furthermore, treatment outcome is often unpredictable due to the presence of numerous injury-related variables affecting the treatment option and prognosis. The current report presents the case of a 14-year-old boy with a 9.0 mm intruded permanent right maxillary central incisor with a closed apex which was treated by orthodontic repositioning and root canal treatment with a favorable prognosis. At the last follow-up visit (30 months after the first treatment session), the tooth was asymptomatic, and radiographic examination showed normal periapical and periodontal appearance.

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Ersan Çiçek ◽  
Neslihan Yılmaz ◽  
Mustafa Murat Koçak

Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors.Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation.Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal.Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.


2021 ◽  
Vol 6 (4) ◽  
pp. 233-238
Author(s):  
Samiksha Sharma ◽  
Akshat Waran

A 15‐year‐old male presented to the Department of Conservative Dentistry and Endodontics immediately after a facial injury having complain of persistent pain in the teeth and the front upper lips. Upon examination it was revealed trauma of the upper incisors, also injury to the marginal gingiva of the front teeth. Further inspections showed slight laceration of the oral mucosa in the lower labial sulcus. Radiographic examination revealed fracture of crown of maxillary central incisor. The treatment plan which was decided comprised of complete removal of fractured crown followed by root canal therapy and immediate post placement and reattachment of the crown.


2010 ◽  
Vol 36 (12) ◽  
pp. 2012-2014 ◽  
Author(s):  
Roberto Estevez ◽  
Jose Aranguren ◽  
Alfonso Escorial ◽  
Cesar de Gregorio ◽  
Francisco De La Torre ◽  
...  

2018 ◽  
Vol 23 (3) ◽  
pp. 37-46
Author(s):  
Harpreet Singh ◽  
Pranav Kapoor ◽  
Poonam Sharma ◽  
Pooja Dudeja ◽  
Raj Kumar Maurya ◽  
...  

ABSTRACT Introduction: Tooth dilacerations are dental anomalies characterized by an abrupt deviation in the longitudinal axis of a tooth. They may occur either in the crown, between the crown and root, or in the root. Although not so common, impacted maxillary incisors exhibiting root dilaceration pose a diagnostic and treatment challenge to the clinician. Description: This case report describes the management of a horizontally impacted and dilacerated maxillary central incisor in a 12-year-old girl. Cone-beam computed tomographic scans were used to accurately localize the position of the dilacerated tooth, and to assess the extent of root formation and degree of dilaceration present in the root. Treatment included surgical exposure and orthodontic traction, followed by root canal treatment and apicoectomy. Results: Through a meticulously planned interdisciplinary approach, the impacted dilacerated central incisor was properly aligned and demonstrated good stability after the long-term follow-up. Conclusion: Taking into consideration the concerns and expectations of the patient, communicative feedback between the oral surgeon, orthodontist and endodontist helped achieving successful esthetic, structural and functional outcome in the present case.


2018 ◽  
Vol 88 (5) ◽  
pp. 567-574
Author(s):  
Sunjay Suri ◽  
Suteeta Disthaporn ◽  
Bruce Ross ◽  
Bryan Tompson ◽  
Diogenes Baena ◽  
...  

ABSTRACT Objectives: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. Materials and Methods: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8.9 ± 1.0 years) were studied. Directions and magnitudes of permanent maxillary central incisor and first molar rotations were recorded. Tooth absence was confirmed from longitudinal radiographic records. Incisor and molar rotations were analyzed in relation to the absence of teeth in their vicinity. Results: Distolabial rotation of the permanent maxillary central incisor was noted in 77.14% on the cleft side, while distopalatal rotation was noted in 82.19% on the noncleft side. Incisor rotation was greater when a permanent tooth was present distal to the cleft side central incisor, in the greater segment. The permanent maxillary first molar showed mesiopalatal rotation, which was greater on the cleft side and when there was absence of one or more teeth in the buccal segment. Conclusions: Presence and absence of teeth were associated with the severity of incisor and molar rotations in UCLP. Crowding of anterior teeth in the greater segment was associated with a greater magnitude of rotation of the cleft side permanent central incisor. Absence of one or more buccal segment teeth was associated with greater magnitude of rotation of the molar.


1970 ◽  
Vol 6 (4) ◽  
pp. 497-501
Author(s):  
A Parolia ◽  
M Kundabala ◽  
N Shetty ◽  
ST Manuel

This case report describes delayed replantation of an avulsed maxillary central incisor in a 17-year-old male patient following an injury on fall one day earlier. Avulsed maxillary right permanent central incisor was replanted back into the socket after extra-oral root canal treatment. One year follow up showed validity of treatment, with no evidence of resorption in the replanted tooth. Key words: Replantation, Maxillary central incisor, Resorption doi: 10.3126/kumj.v6i4.1742     Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 497-501     


2003 ◽  
Vol 27 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Sham Bhat ◽  
S. Sharan ◽  
Imneet Madan

External resorption is sequelae of necrotic periodontal membrane over a large area of root following an injury to the tooth. This usually occurs after severe dental injuries such as intrusion, severe luxations or exarticulation injuries complicated by a prolonged extra oral period. This case report presents a clinical and radiographic follow up (13 months) of treatment of inflammatory external root resorption on maxillary central incisor using Vitapex®. Gradual healing of resorption was observed radiographically with no tenderness or pathological mobility.


Author(s):  
Carla Vânia de Oliveira FIGUEIREDO ◽  
Ana Flávia Bissoto CALVO ◽  
Auremir Rocha MELO ◽  
José Carlos Pettorossi IMPARATO

ABSTRACT This paper aims to describe an inflammatory fibrous hyperplasia case caused by chronic irritation due to poor dental positioning after trauma. An 11-year-old female patient was sent to a dental specialty center with the complaint of a soft tissue growth in the place of an unerupted maxillary central incisor, causing her behavioral changes becoming more timid. After anamnesis and clinical examination it was noted that tooth 11 was in a vestibular position, covered with a hyperplastic lesion. Surgical treatment was performed and the histopathological exam revealed inflammatory fibrous hyperplasia. Over the course of the follow-up appointments, it was possible to observe improvement on the mentioned tooth and the patient’s satisfaction. In face of the low prevalence of inflammatory fibrous hyperplasia, it is worth mentioning that the tooth positioning, outside its correct alignment in the arch, can cause repeated trauma to the mucosa, and then turning into etiological factor to inflammatory fibrous hyperplasia, affecting even children and adolescents. Thus, the dentistry must be alert to establish a diagnosis and clinical treatment, in addition to monitoring these cases.


Sign in / Sign up

Export Citation Format

Share Document