The Treatment of Intruded Maxillary Right Central Incisor with Orthodontic Extrusion: Case Report

Year 2017, , 35 - 41, 01.01.2017

Pelin Tüfenkçi , Hakan Kurt Berkan Çelikten Nihal Akkaya Orhan Özdiler

https://doi.org/10.21306/jids.2017.1.31

Abstract

Intrusive luxation in the permanent dentition is an uncommon injury but it is considered one of the most severe types of dental trauma because of the risk for damage to the periodontal ligament, pulp and alveolar bone. When selecting treatment for traumatically intruded teeth, various factors should be evaluated including the degree of intrusion, pulp vitality, patient’s age and maturity of the tooth. The types of intrusive luxation’s classified; no treatment to allow re-eruption or surgical and orthodontic extrusion. This case report describes approach of orthodontic extrusion for maxillary right lateral incisor has intrusive luxation in 17-year-old girl who has a bicycle accident

Keywords

Endodontics, Intrusive Luxation, Orthodontic Extrusion.

İntrüze Olmuş Maksiller Lateral Dişin Ortodontik Ekstrüzyon ile Tedavisi: Olgu Sunumu

Abstract

Dental travmalar arasından en sık görülen travma tipinden biri olan intrüziv lüksasyon, daimi dentisyonda nadir olarak gözlenir. İntrüziv lüksasyonda pulpa, periodontal ligament ve alveolar kemik zarar görür. İntrüziv lüksasyon gösteren dişlerin tedavilerine intrüzyon derecesi, pulpa vitalitesi, hastanın yaşı ve dişin kök gelişim durumu gibi birçok faktör değerlendirilerek karar verilir. İntrüziv lüksasyon tedavisinde önerilen tedavi tipleri; dişin erüpsiyona bırakılması, cerrahi ve ortodontik olarak ekstrüze edilmesidir. Bu olgu sunumunda 17 yaşındaki kız hastanın geçirdiği bisiklet kazası sonrasında intrüze olmuş üst çene sağ lateral dişine uygulanan ortodontik ekstrüzyon tedavi yaklaşımı anlatılmaktadır

Keywords

Endodonti, İntrüziv Lüksasyon, Ortodontik Ekstrüzyon.

References

• 1. Costa LA, Ribeiro CC, Cantanhede LM, Santiago Júnior JF, de Mendonça MR, Pereira AL. Treatments for intrusive luxation in permanent teeth: a systematic review and metaanalysis. Int J Oral Maxillofac Surg. 2017; 46(2): 214-229.
• 2. Andreasen JO, Andreasen FM, Skeie A, Hjørting-Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries a review article. Dent Traumatol. 2002; 18(3): 116-128.
• 3. Andreasen JO, Bakland LK, Matras RC, Andreasen FM. Traumatic intrusion of permanent teeth. Part 1. An epidemiological study of 216 intruded permanent teeth. Dent Traumatol. 2006; 22(2): 83-89.
• 4. Diangelis AJ, Bakland LK. Traumatic dental injuries: current treatment concepts. J Am Dent Assoc. 1998; 129(10): 1401-1414.
• 5. Duggal MJ. Displacement injuries: Luksation, avulsion, intrusion, conclusion and other displacement injuries in M.E.J Curzon. Handbook. of. Dental Trauma. A Practical guide to the treatment of trauma to the teeth, first edition 1st. at, Oxford Reed Educational and Professional Publishing Ltd, 1999; p. 73-77.
• 6. Chan AW, Cheung GS, Ho MW. Different treatment outcomes of two intruded permanent incisors--a case report. Dent Traumatol. 2001; 17(6): 275-280.
• 7. Cohenca N, Simon JH, Roges R, Morag Y, Malfaz JM. Clinical indications for digital imaging in dentoalveolar trauma. Part 1: traumatic injuries. Dent Traumatol. 2007; 23: 95-104.
• 8. Forsberg J, Halse A. Radiographic simulation of a periapical lesion comparing the paralleling and the bisecting-angle techniques. Int Endod J. 1994; 27: 133-138.
• 9. Tyndall DA, Clifton TL, Webber RL, Ludlow JB, Horton RA. TACT imaging of primary caries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997; 84: 214-225
• 10. Sapir S, Mamber E, Slutzky-Goldberg I, Fuks AB. A novel multidisciplinary approach for the treatment of an intruded immature permanent incisor. Pediatr Dent. 2004; 26(5): 421-425.
• 11. Ayna B, Hamamcı N, Çelenk S, İzol B. Travma sonucu oluşan kron kırıklarının multidisipliner yaklaşımla tedavisi. Süleyman Demirel Ünv Diş Hek Fak Derg. 2009; 1: 49-53.
• 12. Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of conebeam volumetric tomography. J Endod. 2007; 33: 1121-1132.
• 13. Patel S, Dawood A. The use of cone beam computed tomography in the management of external cervical resorption lesions. Int Endod J. 2007; 40: 730-737.
• 14. Shapira J, Regev L, Liebfeld H. 1986. Re-eruption of completely intruded immature permanent incisors. Endod Dent Traumatol. 2(3), 113-116.
• 15. Tsilingaridis G, Malmgren B, Andreasen JO, Malmgren O. Intrusive luxation of 60 permanent incisors: a retrospective study of treatment and outcome. Dent Traumatol. 2012; 28(6): 416-422.
• 16. Andreasen JO, Bakland LK, Andreasen FM. Traumatic intrusion of permanent teeth. Part 3. A clinical study of the effect of treatment variables such as treatment delay, method of repositioning, type of splint, length of splinting and antibiotics on 140 teeth. Dent Traumatol. 2006; 22(2): 99-111.
• 17. Andreasen FM, Pedersen BV. Prognosis of luxated permanent teeth—the development of pulp necrosis. Endod Dent Traumatol. 1985; 1(6): 207-220.
• 18. Çelikten B., Çelikten ZK., Namazoğlu B., Bilici Ö., Maviş AO. İntrüze olmuş daimi kesici dişlerin cerrahi ekstrüzyon ile tedavisi: bir olgu sunumu. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2012; 6: 24-29.
• 19. Kindelan SA, Day PF, Kindelan JD, Spencer JR, Duggal MS. Dental trauma: an overview of its influence on the management of orthodontic treatment. Part 1. J Orthod 2008; 35(2): 68-78.