Alveoler process fracture in mandibular immature permanent incisors region.
The presented case evaluates the treatment of an alveolar fracture associated with mandibular immature lower permanent incisors. An 8-year-old girl was referred to our clinic 3 hours after the trauma. The clinical and radiographic examination of the alveoler bone showed a fracture, along with the mandibular fracture and significant segment mobility and dislocation of several immature mandibular permanent incisors. These were moving together to the lingual side because of the direct trauma associated with falling from the school wall. After the application of the buccal and lingual infiltration of local anaesthesia, the dislodged bone including the lower permanent incisors, were carefully repositioned. The teeth were splinted using semi-rigid arch bars with orthodontic brackets keeping the teeth between primary molars.The splints were removed one month later and no abnormality was observed in the immature permanent incisors. After 24 months follow up, the mandibular permanent incisors were observed to have the apical closure. Treatment of alveolar fractures in growing children with immature teeth may provide beneficial healing pattern with careful semi-rigid splinting and follow up procedures.
Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
Tamer
T
Tuzuner
Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
Gorkem
G
Yahyaoglu
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
Emre
E
Tosun
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erzincan University, Erzincan, Turkey.
Fatih
F
Taskesen
Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
Adem
A
Kusgoz
D000539:Alveolar Process / Q000293:injuries*; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000628:therapy*; D006801:Humans; D007180:Incisor; D008334:Mandible; D014094:Tooth, Deciduous
Direct trauma, Alveolar Process Bone Fracture, Immature Teeth.
