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Multidisciplinary trauma management: a case report.

Kavita Mathu-Muju¹, Judy D McIntyre, Jessica Y Lee

¹Division of Dental Public Health, College of Dentistry, University of Kentucky, Lexington, KY, USA.

Dental Traumatology : Official Publication of International Association for Dental Traumatology

|February 12, 2009

Summary

This summary is machine-generated.

This case report details the successful dental management of severe intrusive luxation and crown fractures in two maxillary incisors. A multidisciplinary approach involving surgical repositioning, endodontic therapy, and fragment re-attachment ensured positive long-term outcomes.

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Area of Science:

Dentistry
Oral Surgery
Endodontics

Background:

Severe intrusive luxation of permanent maxillary incisors presents a significant clinical challenge.
Combined injuries, including crown fractures and labial cortical plate fractures, complicate treatment planning and prognosis.

Observation:

The case involved two permanent maxillary central incisors with severe intrusive labial luxation and associated crown fractures.
A fracture of the labial cortical plate, still attached to soft tissue, was also noted.

Findings:

Surgical repositioning and splinting of the affected teeth and bone fragment were performed.
Endodontic therapy was completed for both incisors, and the re-attached crown fragments were successfully managed.
The multidisciplinary trauma management approach demonstrated effective case progress over a 20-month follow-up period.

Implications:

This case highlights the efficacy of a coordinated, multidisciplinary strategy in managing complex dental trauma.
Successful management of severe intrusive luxation and fractures can be achieved through timely surgical intervention and restorative procedures.
Preservation and re-attachment of fractured tooth segments, alongside endodontic treatment, contribute to favorable long-term prognosis and aesthetics.