Management of traumatically intruded young permanent tooth with 40‐month follow‐up

Chacko, Verghese; Pradhan, Megha

doi:10.1111/adj.12164

Cited by 6 publications

(6 citation statements)

References 18 publications

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“…Studies suggested that intrusions up to 3.0 mm have an excellent prognosis, whereas intrusions greater than 6.0 mm have a poorer prognosis with higher chances of pulp necrosis and inflammatory root resorption (8)(9)(10). In the presented case, the depth of intrusion was 9.0 mm and the intruded tooth had a closed apex, with root length completed.…”

Section: Discussionmentioning

confidence: 78%

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

Darmiani

2020

jsurgery

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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.

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Section: Discussionmentioning

confidence: 78%

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

Darmiani

2020

jsurgery

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“…It has been shown that immature teeth present a better prognosis than do those with complete root formation. 3,6,9,14 Despite the implementation of an identical procedure in case report 2, eruption under traction proceeded unsatisfactorily and radiological examination revealed ankylosis. Therefore, a corticotomy and luxation were administered as supportive treatment to hasten re-eruption.…”

Section: Discussionmentioning

confidence: 93%

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

Marczuk-Kolada¹,

Łuczaj-Cepowicz²,

Pawińska³

2017

Dent. Med. Probl.

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Intrusion is a very severe injury involving damage to the periodontal ligament, cementum, alveolar bone, and neurovascular pulp supply. Current management strategies include passive repositioning by waiting for the tooth to regain its preinjury position, and active repositioning, i.e., immediate surgical repositioning or repositioning with traction.This report describes the interdisciplinary management of complete intrusions of the maxillary right central incisors with an immature open apex in 2 different patients of a similar age but with different outcomes. The most likely causes of these differences were: ankylosis; inflammatory root resorption; and the systemic condition of the 2 nd patient. A number of preinjury and injury factors have a significant influence on the healing outcome. According to this report, prognosis after intrusive luxation appears to depend not only on the severity of the trauma, stage of root development and treatment method, but also probably on the patient's systemic condition. Therefore, the patient's current complex medical history should be taken into consideration as a factor significantly affecting the healing outcome and long-term prognosis.

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“…17 Of all the factors affecting prognosis, severity of intrusion is considered to be the most critical. 7,18,19 Intrusions up to 3 mm have been shown to have excellent prognosis, whereas intrusions > than 6mm have poor prognosis with greater chances of pulp necrosis and inflammatory root resorption.…”

Section: Case Reportmentioning

confidence: 99%

Orthodontic repositioning of traumatically intruded permanent incisors - A report of three cases

et al. 2021

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Intrusive luxation of permanent teeth is one of the most serious traumatic dental injuries involving damage to the gingival tissue, periodontal ligament, cementum, bone and to the neurovascular supply of the pulp. In addition to disruption of normal tooth development and eruption, it can also lead to pulpal necrosis, root resorption and marginal bone loss. Based on the extent/severity, intrusion maybe classified into mild (<3 mm), moderate (3-6mm) and severe (>6mm). Available techniques for managing intrusive luxation include a wait-and-watch approach to allow for spontaneous re-eruption, orthodontic traction and surgical repositioning. The type of treatment approach employed depends upon the stage of root development, severity of intrusive luxation and the presence or absence of alveolar fractures. It is difficult to predict reliable outcomes with these approaches, since the presence of variables such as the severity of intrusion, associated crown/root fracture, stage of root development and presence of alveolar fractures may alter the prognosis. The present article presents a series of three cases with intrusive luxation of permanent incisors successfully treated using an interdisciplinary approach involving orthodontic traction along with endodontic rehabilitation.

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Management of traumatically intruded young permanent tooth with 40‐month follow‐up

Cited by 6 publications

References 18 publications

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

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

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

Orthodontic repositioning of traumatically intruded permanent incisors - A report of three cases

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