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Management of a complex dentoalveolar trauma: a case report
Moara De Rossi1, Andiara De Rossi, Alexandra Mussolino de Queiroz
1Department of Pediatric Dentistry, State University of Campinas, Piracicaba, SP, Brazil. moderossi@yahoo.com.br
Brazilian Dental Journal
|September 29, 2009
Summary
A severe bicycle fall caused lateral luxation of a young patient's incisors. Successful treatment involved surgical repair, repositioning, and endodontic therapy, restoring tooth function and appearance.
Area of Science:
- Dentistry
- Oral Surgery
- Pediatric Dentistry
Background:
- Traumatic dental injuries are common in children and adolescents.
- Lateral luxation of incisors requires prompt and comprehensive management.
- Maxillary central incisors are particularly susceptible to injury due to their prominent position.
Observation:
- A 12-year-old male experienced a severe lateral luxation of maxillary central incisors after a bicycle accident.
- The injury involved soft tissue lacerations and significant displacement of the permanent teeth.
- Immediate clinical assessment revealed the extent of the dental trauma.
Findings:
- Treatment included soft tissue repair, dental repositioning, and splinting.
- Subsequent endodontic treatment and periodontal surgery were performed.
- A 2-year follow-up demonstrated satisfactory esthetic and functional outcomes for the injured incisors.
Implications:
- This case highlights the importance of timely and multi-faceted treatment for severe dental luxations.
- Effective management can lead to favorable long-term esthetic and functional results in pediatric dental trauma.
- The successful outcome underscores the value of integrated endodontic and periodontal care in managing complex dental injuries.
