Treatment Management with Long Term Follow-Up in Late-Admitted Traumatized Permanent Incisors: Case Series

Abstract

Traumatic dental injuries are particularly common in school-age children and often occur in the anterior region. Process management of cases is possible with alternative treatments according to the root development levels. In this case series, it is aimed to present the treatment and 2-year follow-up of permanent anterior teeth with traumatic dental injuries. Case 1: 8-year-old patient, who had a bicycle accident 20 days ago, was diagnosed with extrusion of # 31. Due to late admission to the clinic was in the late period, no repositioning procedure was applied to the tooth. Regenerative endodontic treatment was done. During the radiological follow-up, the apex was closed in the 12th month; however, it was observed that obliteration started in the root canal at the 24th months. The case is still being followed up at regular intervals. Case 2: A 13-year-old patient, who had a traffic accident 3 days ago, was diagnosed with subluxation in #11, and a root fracture was detected in the apical third of #21. In #21, root canal treatment was applied to the coronal part of the fragments. After the diagnosis of pulp necrosis in #11 in the 2nd month of the follow-up period, root canal filling was applied. During the follow-up period, no pathology was detected and no granulation tissue was formed between the fragments in #21. In traumatic dental injuries, long-term follow-up, well-timed endodontic treatments and material selection play an important role in success. With regenerative endodontic treatment, successful results can be obtained even in treatments applied in the late period.

Keywords

• dental trauma
• regenerative endodontic treatment
• delayed treatment
• extrusion
• subluxation
• root fracture

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