Alternative treatment modalities for immature intruded permanent incisors: report of 2 cases.
Intrusion of permanent teeth is one of the most severe types of traumatic injuries. Different treatment strategies have been proposed, and the best approach for each case depends on the stage of root development, severity of the intrusive luxation, presence of alveolar fracture and number of intruded teeth. The purpose of this paper is to describe the treatment management of 2 cases of severely intruded immature permanent maxillary central incisors in 7 1/2- and 8-year-old children. In case 1, the traumatized tooth was treated by surgical repositioning, while in case 2 watchful waiting for spontaneous re-eruption was the treatment of choice. Treatment strategies were successful in both cases, as demonstrated by the continuation of root development, maintenance of pulp vitality, and absence of signs of periapical pathosis during the follow-up period. Regardless of the treatment strategy traumatically intruded teeth should undergo periodical clinical and radiographic surveillance on a long-term basis to allow early detection of possible complications.
Gondim
Juliana Oliveira
JO
Department of Orthodontics and Pediatric Dentistry, School of Dentistry of Araraquara, São Paulo State University, Araraquara, São Paulo, Brazil. jujugondim@yahoo.com.br
Diniz
Michele Baffi
MB
de Abreu-e-Lima
Fábio Cesar Braga
FC
Pansani
Cyneu Aguiar
CA
Moreira Neto
José Jeová Siebra
JJ
D002648:Child; D005500:Follow-Up Studies; D005881:Gingiva / Q000293:injuries; D006801:Humans; D007180:Incisor / Q000293:injuries* / Q000601:surgery; D022125:Lacerations / Q000628:therapy; D008297:Male; D009805:Odontogenesis / Q000502:physiology; D010347:Patient Care Planning; D013165:Splints; D019227:Tooth Apex / Q000502:physiology; D014084:Tooth Avulsion / Q000601:surgery / Q000628:therapy*; D014078:Tooth Eruption / Q000502:physiology