Factors affecting resorption in traumatically intruded permanent incisors in children

Abstract

There is a lack of consensus concerning the management of intruded permanent teeth. The objectives of the present study were to determine the prevalence of resorption for intruded permanent teeth and to establish the effect of factors on the timing, prevalence and rate of resorption and to examine the relationship between the timing of onset and the subsequent rate of resorption. Sixty-one intruded permanent incisors treated at the Paediatric Dentistry units in Belfast and Newcastle upon Tyne, during the period 1990-99 with a minimum follow-up period of 1.5 years, were studied. The timing and presence of resorption and its rate of occurrence over time were set as the principal outcomes. There was a significantly earlier onset and higher prevalence of resorption in more severely intruded teeth (P< 0.05). There was also a significant relationship between the degree of apical development and resorption with an increased prevalence in the more fully developed roots (P< 0.001). Resorption was detected significantly earlier in teeth with higher rates of resorption (P< 0.05). However, the treatment method did not significantly affect the prevalence or rate of resorption. In conclusion, the occurrence of root resorption after intrusive trauma appears to be related to the severity of the original injury and the stage of root development rather than the repositioning procedure.

Different outcomes of managing severe intruded immature permanent incisors: A report of two cases

“…18,19 Furthermore, in case 2, we noticed that the intruded tooth exhibited severe inflammatory internal root resorption, which is known to be a frequent complication of extensive tooth intrusion. 20 This was confirmed in the study by Wigen et al 5 The 2 cases described of severe tooth intrusions in patients of a similar age showed varied outcomes. The most likely causes of these differences were: ankylosis; inflammatory root resorption; and the 2 nd patient's systemic condition.…”

Zahntraumata

“…Die optimale Versorgung intrudierter Zähne hingegen ist umstritten. Die Richtlinien machen dazu drei verschiedene Vorschläge: keine Behandlung, um eine Spontaneruption abzuwarten, chirurgische Repositionierung oder kieferorthopädische Einordnung [7,8] [8,9]. Andere Autoren empfehlen die Behandlung der Wurzeloberfläche mit Fluoriden [10,11] zur Verhinderung einer entzündlichen Resorption, andere wiederum die komplette Entfernung des parodontalen Ligaments [10].…”

Endodontic Treatment of Surgical Repositioned Traumatically-Intruded Maxillary Incisors Permanent Teeth

“…7 Keuntungan reposisi secara bedah yaitu dapat memberikan akses ke dalam saluran akar dengan cepat, selain mencegah kemungkinan terjadinya resorbsi inflamasi atau resorpsi pengganti (ankilosis). 9 Perawatan kasus intrusi selalu merupakan tantangan bagi para dokter gigi dan adanya pendekatan multidisiplin seperti dengan bedah mulut, ortodontis, endodontis sangatlah penting agar tercapai hasil yang memuaskan.…”

“…Perawatan pertama yang dilakukan dalam kasus ini adalah mengembalikan gigi tersebut ke posisi semula dengan reposisi secara bedah, seperti yang direkomendasikan sebelumnya, yaitu perawatan pilihan bagi gigi permanen yang intrusi adalah dengan reposisi bedah. 9 Penelitian terdahulu menyatakan bahwa trauma tambahan yang dapat terjadi pada jaringan periodonsium pada saat reposisi bedah, dapat menambah kemungkinan komplikasi paska bedah, seperti resorpsi akar eksterna dan kehilangan dukungan tulang marginal. 10 Analisis pada 58 gigi permanen yang intrusi dan dilakukan reposisi bedah, menunjukkan bahwa semakin besar trauma saat reposisi, semakin besar kemungkinan terjadinya ankilosis.…”

“…Pertimbangan lainnya adalah dengan reposisi bedah, akses ke saluran akar lebih cepat dilaksanakan, sehingga perawatan endodonti dapat dilakukan sedini mungkin dengan harapan dapat menghentikan resorpsi inflamasi. 9,10 Menurut Royal College of Surgeons of England (RCSE), untuk kasus intrusi kurang dari 3mm pada gigi permanen dengan apeks masih terbuka, reposisi pasif (reerupsi) spontan merupakan pilihan perawatan, karena gigi masih mempunyai kemampuan untuk erupsi dan memperbaiki kerusakan jaringan pulpa dan periodontium dengan baik. 12 Re-erupsi ini terjadi terutama bila gigi masih vital, dan jarang terjadi pada gigi yang nekrosis.…”