Re-eruption of an intruded immature permanent incisor with necrotic pulp: a case report.
Intrusive luxation is a serious dental injury that causes damage to the pulp and supporting structures of a tooth because of its dislocation into the alveolar process. This paper presents the case of the re-eruption of a severely intruded immature permanent incisor with a crown-root fracture. A 9-year-old boy was referred to the clinic 1 day after a fall. Clinical and radiographic examinations revealed intrusive luxation of the immature left permanent incisor and a crown-root fracture without pulp exposure. Palatal gingivectomy was done 2 weeks later to facilitate re-eruption. Root canal therapy with intracanal calcium hydroxide paste was initiated during the first month owing to severe spontaneous pain. Six months later, the tooth re-erupted to a normal position, after which root canal obturation and a final esthetic restoration were done. The present case demonstrates the possibility of obtaining re-eruption of intruded immature permanent teeth with interim medication (calcium hydroxide) in the root canal.
Altun
Ceyhan
C
Department of pediatric dentistry, Center for Dental Sciences, Gülhane Medical Academy, Ankara, Turkey. ceyhanaltun@yahoo.com
Güven
Günseli
G
Cehreli
Zafer C
ZC
Gurbuz
Taskin
T
Aydin
Cumhur
C
D002126:Calcium Hydroxide / Q000627:therapeutic use; D002648:Child; D003790:Dental Pulp Necrosis / Q000209:etiology* / Q000628:therapy; D005500:Follow-Up Studies; D005890:Gingivectomy; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D011176:Post and Core Technique; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012389:Root Canal Obturation; D012390:Root Canal Therapy; D019227:Tooth Apex / Q000187:drug effects; D014084:Tooth Avulsion / Q000209:etiology* / Q000503:physiopathology; D019228:Tooth Crown / Q000293:injuries; D014078:Tooth Eruption / Q000502:physiology*; D014082:Tooth Fractures / Q000209:etiology; D014092:Tooth Root / Q000293:injuries
D012387:Root Canal Filling Materials; D002126:Calcium Hydroxide