MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD

İdil Özden; Fatma Güngör; Hilal Niyazoğlu; Büşra Oruç; Hesna Sazak Öveçoğlu

MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD

Abstract

Intrusion represents the most severe form of dental trauma, resulting in significant damage to the periodontal ligamentpulp fibres. This report details the treatment of external root resorption with intrusion and complicated crown fractures of maxillary central incisors. CBCT scans revealed oblique fractures in teeth 11-12, extending 4 mm into the gingival line and involving the pulp. The intrusion severity was classified as “severe” (8 mm). The teeth were repositioned under sedation by surgical extrusion and stabilised. Root canals were cleaned and filled with calcium hydroxide within thirty days. Permanent restoration of the fractured areas occurred after confirming tooth positions. At the 12-month follow-up, severe external resorption was observed. Remaining gutta-percha was removed, and calcium hydroxide was applied for three weeks. At the second visit, the canal lengths were assessed, and MTA was placed in all resorbed areas and root canals. Throughout the subsequent 12-month follow-up, the teeth functioned normally without symptoms. The stage of root development, patient age, and degree of intrusion are critical factors influencing prognosis. According to IADT guidelines, complete root development and intrusion exceeding 7 mm justified surgical repositioning. The literature lacks definitive evidence comparing orthodontic versus surgical approaches. Some authors advocate immediate surgical extrusion to enhance endodontic access and aesthetics, though caution is warranted due to potential mechanical damage and root resorption. Surgical repositioning may have contributed to post-endodontic root resorption. Nonetheless, the multidisciplinary approach effectively restored function and aesthetics in this case. After two years, clinical restoration parameters remained satisfactory, alongside periodontal and periapical conditions.

Keywords

References

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Details

Primary Language

English

Subjects

Endodontics

Journal Section

Case Report

Authors

İdil Özden ^*
Türkiye

Fatma Güngör
Türkiye

Hilal Niyazoğlu This is me
Türkiye

Büşra Oruç
Türkiye

Hesna Sazak Öveçoğlu
Türkiye

Publication Date

August 28, 2024

Submission Date

May 29, 2024

Acceptance Date

July 4, 2024

Published in Issue

Year 2024 Volume: 48 Number: 2

IZ

https://izlik.org/JA45HM83PJ

Cite

RIS / Bibtex

APA

Özden, İ., Güngör, F., Niyazoğlu, H., Oruç, B., & Sazak Öveçoğlu, H. (2024). MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD. Clinical Dentistry and Research, 48(2), 90-98. https://izlik.org/JA45HM83PJ

AMA

1.Özden İ, Güngör F, Niyazoğlu H, Oruç B, Sazak Öveçoğlu H. MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD. Clin Dent Res. 2024;48(2):90-98. https://izlik.org/JA45HM83PJ

Chicago

Özden, İdil, Fatma Güngör, Hilal Niyazoğlu, Büşra Oruç, and Hesna Sazak Öveçoğlu. 2024. “MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD”. Clinical Dentistry and Research 48 (2): 90-98. https://izlik.org/JA45HM83PJ.

EndNote

Özden İ, Güngör F, Niyazoğlu H, Oruç B, Sazak Öveçoğlu H (August 1, 2024) MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD. Clinical Dentistry and Research 48 2 90–98.

IEEE

[1]İ. Özden, F. Güngör, H. Niyazoğlu, B. Oruç, and H. Sazak Öveçoğlu, “MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD”, Clin Dent Res, vol. 48, no. 2, pp. 90–98, Aug. 2024, [Online]. Available: https://izlik.org/JA45HM83PJ

ISNAD

Özden, İdil - Güngör, Fatma - Niyazoğlu, Hilal - Oruç, Büşra - Sazak Öveçoğlu, Hesna. “MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD”. Clinical Dentistry and Research 48/2 (August 1, 2024): 90-98. https://izlik.org/JA45HM83PJ.

JAMA

1.Özden İ, Güngör F, Niyazoğlu H, Oruç B, Sazak Öveçoğlu H. MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD. Clin Dent Res. 2024;48:90–98.

MLA

Özden, İdil, et al. “MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD”. Clinical Dentistry and Research, vol. 48, no. 2, Aug. 2024, pp. 90-98, https://izlik.org/JA45HM83PJ.

Vancouver

1.İdil Özden, Fatma Güngör, Hilal Niyazoğlu, Büşra Oruç, Hesna Sazak Öveçoğlu. MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD. Clin Dent Res [Internet]. 2024 Aug. 1;48(2):90-8. Available from: https://izlik.org/JA45HM83PJ