Multidisciplinary treatment for a patient with traumatically intruded permanent canine and premolar

Markomanolaki²,

et al. 2022

Children

We present the treatment of an injured and avulsed incisor (which was afterwards ankylosed), by subapical osteotomy and conventional orthodontic mechanisms. A 9-year-old boy presented for orthodontic treatment with an injured and avulsed central incisor, which, after initial repositioning, ended up with ankylosis and severe root resorption. The case was treated by single tooth alveolar osteotomy and distraction osteogenesis through conventional orthodontics, advocating for the floating bone concept due to the short vertical distance by which the tooth alveolus part had to be relocated. Orthodontic treatment of the avulsed central incisor was completed after osteotomy and distraction osteogenesis, and the tooth was restored to its proper position, aiming to address issues of aesthetics and function for the time being. The patient was finally referred to a prosthodontist for future and final implant rehabilitation due to severe root resorption. Distraction osteogenesis after surgical procedures is a reliable solution for dealing with an ankylosed and submerged tooth.

Section: Discussionmentioning

confidence: 97%

Treatment of an Avulsed and Ankylosed Incisor through Single Tooth Alveolar Osteotomy and Conventional Orthodontic Mechanisms

Markomanolaki²,

et al. 2022

Children

Bull. Tokyo Dent. Coll.

“…This means that the causes of injury are likely to vary accordingly. It has recently been reported that accident-related injuries in children are on the increase 16) . It has also been pointed out that agility and reflexes specific to children are reduced in association with changes in environmental factors, such as housing, physical exercise, and mode of transportation 16) .…”

Section: Discussionmentioning

confidence: 99%

“…It has recently been reported that accident-related injuries in children are on the increase 16) . It has also been pointed out that agility and reflexes specific to children are reduced in association with changes in environmental factors, such as housing, physical exercise, and mode of transportation 16) . This indicates that the chances of a child encountering a variety of incidents, such as accidents during sports or play outside, as well as traffic accidents, are on the increase.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Child with Four Lost Maxillary Incisors due to Traffic Injury

Homma

Okada²,

Nakauchi

et al. 2019

Tooth injury is frequently encountered in pediatric clinical practice. A clinician may be requested to not only respond at the time of injury, but also properly diagnose how such injury will affect the teeth and dentition. Here, we present a case of a child who lost 4 bilateral maxillary incisors due to a traffic accident, and in whom marked mesial inclination of the bilateral maxillary canines and bilateral maxillary first premolars would subsequently occur. Dental management was provided over an extended period. The boy, aged 9 years 11 months, visited our department with the chief complaint of premature loss of 4 bilateral maxillary incisors and eating disturbance associated with the loss of these teeth. Initially, a denture was fitted. The bilateral maxillary canines subsequently demonstrated marked mesial inclination, however, and erupted from an area equivalent to that of the bilateral central incisors. The bilateral maxillary first premolars also showed mesial inclination and rotation. Taking esthetics into consideration, a Nance holding arch with resin buttons that extended to the maxillary incisors and attached to artificial teeth was used. This appliance was also equipped with a retracting hook, and the bilateral maxillary canines were moved downward and distally. Presently, the removable partial denture is worn for the purposes of retention, esthetics, and mastication. Long-term oral management will be necessary. Therefore, final prosthetic treatment for the missing maxillary incisors is planned for when the patient reaches adulthood.

Int J Community Med Public Health

“…43 It should also be noted that ankylosis of the affected tooth can result from applying a heavy orthodontic force for the management of luxation. 44,45 Long-term follow-up of applying orthodontic traction is also recommended and can be an effective modality for managing ankylosed cases. [46][47][48]…”

Section: Intrusion and Extrusion Luxationmentioning

confidence: 99%

Orthodontic management of traumatized teeth: a literature review

Hifny

Hawsawi

Baraat

et al. 2021

Traumatic dental injuries can significantly impact the appearance and the functions of the affected teeth and can induce significant damages to the surrounding structures within the oral cavity including both the soft and hard ones. This present literature review aimed to discuss the appropriate orthodontic management of dental traumatic events and to present evidence from previous studies in the literature. The search took place in the relevant databases l, such as PubMed, Web of Science, Scopus and Google Scholar to find the relevant articles that have previously discussed the topic to retrieve all the potentially related information that will help to formulate strong evidence. The literature review was focused on the orthodontic management considerations for patients that had dental traumas including crown and crown-root fractures, in addition to intrusion and extrusion luxation injuries. Overall, orthodontists should be able to deal with all the possible traumatic lesions as early as possible to avoid the development of any complications which might affect the prognosis of the affected teeth and the surrounding structures. Moreover, the evidence suggested that aforementioned lesions which was a period of at least three months should be recommended after applying the orthodontic treatment to early screen against any potential complications and maintain stabilization.