A biological conservative approach to complex traumatic dento-alveolar lesions.
Of all the kinds of traumatic dental injury, luxation injuries associated with crown-root fractures deserve special attention due to the particular need for complex multidisciplinary treatment. Clinical experience has demonstrated the need for repositioning of luxated teeth and treatment of crown-root fractures by orthodontic or surgical extrusion and completed with periodontal plastic surgery (gingivoplasty). In many cases the outcome is good conservation and excellent esthetic results. This approach cannot however, always be recommended, for example because of the age of the patient. For this reason, a different protocol is proposed that involves, in addition to orthodontic repositioning of the luxated teeth, (as is required to return teeth to the physiological position), the extrusion, restoration and subsequent re-intrusion to the natural position (without the need for further surgery) of those teeth involved with associated crown-root fractures. Two cases illustrate the use of this proposed technique.
Spinas
Enrico
E
Department of Odontostomatology, Center for Dento-Facial Trauma Studies, Director, Prof. P. Falconi, University of Cagliari, Italy. enricospinas@tiscali.it
D000293:Adolescent; D003782:Dental Pulp / Q000293:injuries; D005260:Female; D006801:Humans; D007180:Incisor / Q000293:injuries*; D009967:Orthodontic Appliances; D010516:Periodontal Splints; D012390:Root Canal Therapy; D014084:Tooth Avulsion / Q000628:therapy*; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods*; D014092:Tooth Root / Q000293:injuries