Intrusive Luxation in Primary Teeth: A Case Report

Area of Science:

• Dentistry
• Oral Surgery
• Pediatric Dentistry

Background:

• Intrusive luxation, or central dislocation, is a severe dental injury caused by axial impact.
• This trauma extensively damages the periodontal ligament, bone, and neurovascular bundle.
• Primary tooth intrusion poses risks to developing permanent successors, especially in early stages.

Observation:

• A case of primary tooth intrusion initially misdiagnosed as avulsion is presented.
• The affected tooth, an upper right central incisor, was found lodged in the nasal floor.

Findings:

• Surgical extraction of the intruded primary incisor was performed through the nose.
• The study highlights the importance of accurate diagnosis in managing intrusive luxation.

Implications:

• Properly diagnosing the direction of tooth displacement is essential in primary tooth intrusion cases.
• Preventing sequelae in the permanent dentition requires careful evaluation and management of primary tooth injuries.
• Early and accurate diagnosis can mitigate long-term complications in the permanent dentition.