Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download PDF

Dental and Medical Problems

2017, vol. 54, nr 4, October-December, p. 441–445

doi: 10.17219/dmp/78663

Publication type: clinical case

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Creative Commons BY-NC-ND 3.0 Open Access

Different outcomes of managing severe intruded immature permanent incisors: A report of two cases

Zróżnicowane wyniki leczenia ciężkiej intruzji stałych zębów siecznych z niezakończonym rozwojem korzeni – opis dwóch przypadków

Grażyna Marczuk-Kolada1,A,B,C,D,E,F, Elżbieta Łuczaj-Cepowicz1,A,B,C,D,E, Małgorzata Pawińska2,C,D

1 Department of Pedodontics, Medical University of Bialystok, Białystok, Poland

2 Department of Integrated Dentistry, Medical University of Bialystok, Białystok, Poland

Abstract

Intrusion is a very severe injury involving damage to the periodontal ligament, cementum, alveolar bone, and neurovascular pulp supply. Current management strategies include passive repositioning by waiting for the tooth to regain its preinjury position, and active repositioning, i.e., immediate surgical repositioning or repositioning with traction. This report describes the interdisciplinary management of complete intrusions of the maxillary right central incisors with an immature open apex in 2 different patients of a similar age but with different outcomes. The most likely causes of these differences were: ankylosis; inflammatory root resorption; and the systemic condition of the 2nd patient. A number of preinjury and injury factors have a significant influence on the healing outcome. According to this report, prognosis after intrusive luxation appears to depend not only on the severity of the trauma, stage of root development and treatment method, but also probably on the patient’s systemic condition. Therefore, the patient’s current complex medical history should be taken into consideration as a factor significantly affecting the healing outcome and long-term prognosis.

Key words

corticotomy, intrusive luxation, permanent teeth, Wolfram syndrome

Słowa kluczowe

kortykotomia, zwichnięcie intruzyjne, zęby stałe, zespół Wolframa

References (20)

  1. 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;22:83–89.
  2. Albadri S, Zaitoun H, Kinirons MJ. UK National Clinical Guidelines in Paediatric Dentistry: Treatment of traumatically intruded permanent incisor teeth in children. Int J Paediatr Dent. 2010;20(Suppl.1):1–2.
  3. 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;22:99–111.
  4. Barbosa Luna AH, Fernandes Moreira RW, De Moraes M. Traumatic intrusion of maxillary permanent incisor into the nasal cavity: Report of a case. Dent Traumatol. 2008;24:244–247.
  5. Wigen TI, Agnalt R, Jacobsen I. Intrusive luxation of permanent incisors in Norwegians aged 6–17 years: A retrospective study of treatment and outcome. Dent Traumatol. 2008;24:612–618.
  6. Alkhalifa JD, Alazemi AA. Intrusive luxation of permanent teeth a systematic review of factors important for treatment decision-making. Dent Traumatol. 2014;30:169–175.
  7. Megighian D, Savastano M. Wolfram syndrom. Int J Pediatric Otorhinolaryngol. 2004;68:243–247.
  8. Mortazavi H, Shahoon H, Khojasteh A. Acute supporative osteomyelitis of the lower jaw in Wolfram syndrome: Report of case and review of literature. Oral Oncol EXTRA. 2005;41:191–194.
  9. Umesan UK, Chua KL, Kok EC. Delayed orthodontic extrusion of a traumatically intruded immature upper permanent incisor – A case report. Dent Traumatol. 2014;30:406–410.
  10. Siebra Moreira Neto JJ, Oliveira Gondim J, Matias De Carvalho F, Aparecida Giro EM. Longitudinal clinical and radiographic evaluation of severely intruded permanent incisors in pediatric population. Dent Traumatol. 2009;25:510–514.
  11. International Association for Dental Traumatology website. http://www.iadt-dentaltrauma.org/. Accessed January 21, 2011.
  12. Kalwitzki M, Weiger R. An intrusion injury as as an example of interdisciplinary aspects in dental traumatology: A case report. Quintessence Int. 2005;36:234–242.
  13. Faria G, Silva RAB, Fiori-Junior M, Nelson-Filho P. Re-eruption of traumatically intruded mature permanent incisor: Case report. Dent Traumatol. 2004;20:229–232.
  14. Chacko V, Pradhan M. Management of traumatically intruded young permanent tooth with 40-month follow-up. Aust Dent J. 2014;59:240–244.
  15. Hassan AH, Al-Fraidi AA, Al Saed SH. Corticotomy assisted orthodontic treatment: review. Open Dent J. 2010;4:159–164.
  16. Bhattacharya P, Bhattacharya H, Anjum A, et al. Assessment of corticotomy facilitated tooth movement and changes in alveolar bone thickness – a CT Scan study. J Clin Diagn Res. 2014;8:ZC26–ZC30.
  17. Humphrey JM, Kenny DJ, Barret EJ. Clinical outcomes for permanent incisor luxations in pediatric population. I. Intrusions. Dent Traumatol. 2003;19:266–273.
  18. Takahashi T, Takogi T, Moryiama K. Orthodontic treatment of a traumatically intruded tooth with ankylosis by traction after surgical luxation. Am J Orthod Dentofacial Orthop. 2005;127:233–241.
  19. Turley PK, Crawford LB, Carrington KW. Traumatically intruded teeth. Angle Orthod. 1987;57:234–244.
  20. Albadri S, Kinirons MJ, Cole BOI, Welbury RR. Factors affecting resorption in traumatically intruded permanent incisors in children. Dent Traumatol. 2002;18:73–76.
© Wroclaw Medical University