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KMID : 1812220210010010056
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Journal of The Korean Academy of Sports Dentistry
2021 Volume.1 No. 1 p.56 ~ p.61
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Management of Severely Intruded Permanent Incisors Associated with Alveolar Bone Fracture: A Case Report
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Kim Seong-Jin
Park Ji-Ho
Song Min-Sun
Kim Ik-Hwan
Choi Hyung-Jun
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Abstract
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Intrusive luxation is a severe form of dental trauma, which can lead to multiple healing complications such as pulp necrosis, inflammatory and replacement root resorption. Among various treatment options, the clinicians should consider the root development of intruded tooth and the degree of intrusion for decision?making. The three most important factors affecting the prognosis of intrusive luxation are root development, degree of intrusion, and age. This case report describes the management of severely intruded maxillary anterior teeth involving alveolar bone fracture from dental trauma in 9?year?old boy through immediate surgical extrusion procedure. A 9?year?old boy came to Department of Pediatric Dentistry, Yonsei University Dental Hospital, Seoul, Korea with chief complaint of intrusion of multiple maxillary teeth and laceration of lower lip after falling down stairs. Based on the clinical and radiographic examination, the region from maxillary right canine to left lateral incisor was diagnosed with dentoalveolar fracture with intrusive luxation. Intruded teeth and alveolar bone fragments were repositioned immediately by surgical extrusion, followed by stabilization using resin?wire splint for 8 weeks. After 2 years of follow?up, fair clinical results of teeth and alveolar bone level were observed.
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KEYWORD
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alveolar bone fracture, intrusive luxation, resin-wire splint, surgical extrusion
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