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Management of an intruded tooth and adjacent tooth showing external resorption as a late complication of dental injury: three-year follow-up.

Şermet Elbay Ü, Elbay M, Kaya E, Sinanoglu A - Case Rep Dent (2015)

Bottom Line: Some studies have demonstrated that intrusions of up to 3.0 mm have an excellent prognosis, whereas teeth with severe intrusion or teeth that are intruded more than 6.0 mm present an unfavorable prognosis because of the occurrence of inflammatory resorption and pulp necrosis.The aim of this case report is to present an 11-year-old male patient with complete intrusion of the permanent maxillary left lateral incisor, associated with the adjacent central tooth presenting external resorption, treated by immediate surgical repositioning and root canal treatment with a favorable prognosis.After long-term (3-year) clinical and radiographic follow-up, the teeth appeared normal and the patient was pleased with the outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Dentistry, Faculty of Dentistry, Kocaeli University, 41190 Kocaeli, Turkey.

ABSTRACT
Treatment and prognosis of intrusive luxation can vary depending on the age of the patient, type of dentition, stage of root development, and time and severity of the trauma. Some studies have demonstrated that intrusions of up to 3.0 mm have an excellent prognosis, whereas teeth with severe intrusion or teeth that are intruded more than 6.0 mm present an unfavorable prognosis because of the occurrence of inflammatory resorption and pulp necrosis. The aim of this case report is to present an 11-year-old male patient with complete intrusion of the permanent maxillary left lateral incisor, associated with the adjacent central tooth presenting external resorption, treated by immediate surgical repositioning and root canal treatment with a favorable prognosis. After long-term (3-year) clinical and radiographic follow-up, the teeth appeared normal and the patient was pleased with the outcome.

No MeSH data available.


Related in: MedlinePlus

CBCT images of the left upper lateral and central incisor at the 3-year follow-up.
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fig5: CBCT images of the left upper lateral and central incisor at the 3-year follow-up.

Mentions: In the present case, the teeth were stable and the patient was completely asymptomatic 12 months postoperatively (Figure 4(b)). Also 24-month radiographic examination showed that there were no signs to indicate resorption or infection (Figure 4(c)). At the 3-year follow-up examination, a small volume CBCT scan of the maxilla was performed (Planmeca ProMax 3D Max, Planmeca, Finland) at 96.0 kV, 11.0 mA, and 12.3 s, to examine the traumatized teeth. CBCT scan was set at the smallest field of view protocol (5 cm × 5.5 cm) of the device, targeting specifically the maxillary incisor area. Images were analyzed by viewing software (Planmeca Romexis, Planmeca, Finland). The maxillary lateral and central incisors were found to have remained in position and there were no signs of periapical lesions or resorption (Figure 5). Also, the clinical findings demonstrated that the chosen clinical protocol was successful as both teeth remained asymptomatic; there was no gingival inflammation or mobility (Figure 6). In addition, the patient was satisfied with his appearance and approved of his smile.


Management of an intruded tooth and adjacent tooth showing external resorption as a late complication of dental injury: three-year follow-up.

Şermet Elbay Ü, Elbay M, Kaya E, Sinanoglu A - Case Rep Dent (2015)

CBCT images of the left upper lateral and central incisor at the 3-year follow-up.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4352940&req=5

fig5: CBCT images of the left upper lateral and central incisor at the 3-year follow-up.
Mentions: In the present case, the teeth were stable and the patient was completely asymptomatic 12 months postoperatively (Figure 4(b)). Also 24-month radiographic examination showed that there were no signs to indicate resorption or infection (Figure 4(c)). At the 3-year follow-up examination, a small volume CBCT scan of the maxilla was performed (Planmeca ProMax 3D Max, Planmeca, Finland) at 96.0 kV, 11.0 mA, and 12.3 s, to examine the traumatized teeth. CBCT scan was set at the smallest field of view protocol (5 cm × 5.5 cm) of the device, targeting specifically the maxillary incisor area. Images were analyzed by viewing software (Planmeca Romexis, Planmeca, Finland). The maxillary lateral and central incisors were found to have remained in position and there were no signs of periapical lesions or resorption (Figure 5). Also, the clinical findings demonstrated that the chosen clinical protocol was successful as both teeth remained asymptomatic; there was no gingival inflammation or mobility (Figure 6). In addition, the patient was satisfied with his appearance and approved of his smile.

Bottom Line: Some studies have demonstrated that intrusions of up to 3.0 mm have an excellent prognosis, whereas teeth with severe intrusion or teeth that are intruded more than 6.0 mm present an unfavorable prognosis because of the occurrence of inflammatory resorption and pulp necrosis.The aim of this case report is to present an 11-year-old male patient with complete intrusion of the permanent maxillary left lateral incisor, associated with the adjacent central tooth presenting external resorption, treated by immediate surgical repositioning and root canal treatment with a favorable prognosis.After long-term (3-year) clinical and radiographic follow-up, the teeth appeared normal and the patient was pleased with the outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Dentistry, Faculty of Dentistry, Kocaeli University, 41190 Kocaeli, Turkey.

ABSTRACT
Treatment and prognosis of intrusive luxation can vary depending on the age of the patient, type of dentition, stage of root development, and time and severity of the trauma. Some studies have demonstrated that intrusions of up to 3.0 mm have an excellent prognosis, whereas teeth with severe intrusion or teeth that are intruded more than 6.0 mm present an unfavorable prognosis because of the occurrence of inflammatory resorption and pulp necrosis. The aim of this case report is to present an 11-year-old male patient with complete intrusion of the permanent maxillary left lateral incisor, associated with the adjacent central tooth presenting external resorption, treated by immediate surgical repositioning and root canal treatment with a favorable prognosis. After long-term (3-year) clinical and radiographic follow-up, the teeth appeared normal and the patient was pleased with the outcome.

No MeSH data available.


Related in: MedlinePlus