Management of an Intruded Ankylosed Immature Permanent Maxillary Central Incisor: A Case Report and Review of the Literature
Journal of Dental School,
Vol. 40 No. 3 (2022),
12 Khordad 2023
,
Page 119-123
https://doi.org/10.22037/jds.v40i3.40601
Abstract
Objectives Intrusive luxation is a severe type of dentoalveolar injury, which causes damage to the pulp and supporting tissues of a tooth, as the tooth is apically dislocated into the alveolar process.
Case This report describes a case of re-eruption of an intruded immature severely ankylosed upper permanent central incisor. A seven-year-old boy was referred to the pediatric dental clinic three months after a traumatic injury. Clinical and radiographic examinations revealed intrusive luxation of the immature left upper permanent central incisor. In the first visit, initial bracketing was performed, and the left central incisor was engaged. In the second visit (after four weeks), the tooth showed no movement and produced a metallic sound in percussion. The tooth was consequently luxated and engaged again with a heavier force and followed-up monthly.
Conclusion It re-erupted completely, and the follow-up periapical radiographs showed that root formation continued, and the root apex was approximately closed.
- Tooth Intrusion
- Tooth Injuries
- Tooth Ankylosis
- Dental Practice Management
- 2023-08-12 (4)
- 2023-08-12 (3)
- 2023-08-12 (2)
- 2023-08-12 (1)
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References
Gomes GB, da Costa CT, Bonow ML. Traumatic intrusion of permanent teeth: 10 years follow-up of 2 cases. Dent Traumatol. 2013; 29(2):165-9.
Kullman L, Al Sane M. Guidelines for dental radiography immediately after a dento-alveolar trauma, a systematic literature review. Dent Traumatol. 2012; 28(3):193-9.
Abazarian N, Milani S, Hamrah MH, Shahrabi MS. Management and follow-up of complicated crown fractures with intrusive luxation of maxillary incisors in an 8-year-old boy. Case Rep Dent. 2021; 2021:5540860.
Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O'Connell AC, Day PF, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: 1. fractures and luxations. Dent Traumatol. 2020; 36(4):314-30.
Rovira-Wilde A, Longridge N, McKernon S. Management of severe traumatic intrusion in the permanent dentition. BMJ Case Rep. 2021; 14(3): e235676.
Chacko V, Pradhan M. Management of traumatically intruded young permanent tooth with 40-month follow-up. Aust Dent J. 2014; 59(2):240-4.
Rocha Lima TF, Nagata JY, de Souza-Filho FJ, de Jesus Soares A. Post-traumatic complications of severe luxations and replanted teeth. J Contemp Dent Pract. 2015; 16(1):13-9.
Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth: John Wiley & Sons; 2018. chapter 19; p: 473.
Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. a clinical study of 1,298 cases. Scand J Dent Res. 1970; 78(4):329-42.
Zerman N, Cavalleri G. Traumatic injuries to permanent incisors. Endod Dent Traumatol. 1993; 9(2):61-4.
Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a danish population sample. Int J Oral Surg. 1972; 1(5):235-9.
Meadow D, Lindner G, Needleman H. Oral trauma in children. Pediatr Dent. 1984; 6(4):248-51.
Chan AW, Cheung GS, Ho MW. Different treatment outcomes of two intruded permanent incisors--a case report. Dent Traumatol. 2001; 17(6):275-80.
Andreasen FM, Pedersen BV. Prognosis of luxated permanent teeth--the development of pulp necrosis. Endod Dent Traumatol. 1985; 1(6):207-20.
Andreasen JO, Bakland LK, Matras RC, Andreasen FM. Traumatic intrusion of permanent teeth. part 1. an epidemiological study of 216 intruded permanent teeth. Dent Traumatol. 2006; 22(2):83-9.
Shapira J, Regev L, Liebfeld H. Re-eruption of completely intruded immature permanent incisors. Endod Dent Traumatol. 1986; 2(3):113-6.
Shekarchi F, Rezai Rad M, MalekAfzali B, Hosseinpour S, Khojasteh A. Modulated cementogenic genes upregulation in human buccal fat pad-derived stem cells by strontium-ranelate. Gene Rep.2021; 23:101056.
Kim HJ, Kim YI, Min KS. A combined approach with passive and active repositioning of a traumatically intruded immature permanent incisor. Eur J Paediatr Dent. 2017; 18(1):27-31.
Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, et al. Guidelines for the manag0ement of traumatic dental injuries. I. fractures and luxations of permanent teeth. Dent Traumatol. 2007; 23(2):66-71.
Rai P, Pandey RK, Khanna R. A multidisciplinary approach to the management of traumatic intrusion in immature permanent teeth. BMJ Case Rep. 2016; 2016:1-5.
Biederman WJAJoO. Etiology and treatment of tooth ankylosis. 1962;48(9):670-84.
Skolnick IM. Ankylosis of maxillary permanent first molar. J Am Dent Assoc. 1980; 100(4):558-60.
Dean JA. McDonald and Avery's dentistry for the child and adolescent.11th Ed. Elsevier Health Sciences: 2021;Chap 28; p: 644.
Andreasen JO. Luxation of permanent teeth due to trauma. A clinical and radiographic follow-up study of 189 injured teeth. Scand J Dent Res. 1970; 78(3):273-86.
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