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Orthodontic movement in traumatically intruded teeth: a case report
José de Albuquerque Calasans-Maia1, Mônica Diuana Calasans-Maia, Edgard Norões Rodrigues da Matta
1Disciplina de Ortodontia, Faculdade de Odontologia da UFRJ, Cidade Universitária, Ilha do Fundão, Rio de Janeiro, RJ, Brazil. calasans@ortodontia.ufrj.br
Summary
Intrusive luxation, a severe dental injury, can be effectively treated by combining orthodontic repositioning and endodontic therapy. This approach successfully restored severely intruded permanent incisors in a case report, with long-term positive outcomes.
Area of Science:
- Dental Traumatology
- Periodontology
- Orthodontics
Background:
- Intrusive luxation of permanent teeth poses significant challenges in dental traumatology due to periodontal ligament damage.
- Current treatment strategies for intruded teeth vary, with a need for effective management protocols.
Observation:
- A case report details the management of a 50-year-old male with four completely intruded mature permanent maxillary incisors.
- Orthodontic extrusion commenced one week post-trauma, followed by endodontic therapy after tooth exposure.
Findings:
- The combined orthodontic extrusion and endodontic treatment successfully repositioned the intruded incisors.
- Teeth were repositioned to their approximate original location within nine weeks of injury.
Implications:
- This combined treatment approach offers a viable solution for managing severe intrusive luxation injuries.
- Long-term follow-up indicates sustained positive results, highlighting the efficacy of this therapeutic strategy.