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Ridge Preservation Strategies in Children Following Anterior Tooth Trauma.

David R Steiner1, David P Mathews2

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Managing anterior oral trauma in children requires long-term care for optimal prosthetic outcomes. This study details two cases of successful ridge preservation and development over 11 years, using different strategies for ankylosed versus non-ankylosed teeth.

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Area of Science:

  • Pediatric Dentistry
  • Oral and Maxillofacial Surgery
  • Dental Traumatology

Background:

  • Anterior oral trauma in children can lead to complex sequelae impacting long-term dental rehabilitation.
  • Achieving optimal ridge development and preservation is crucial for future prosthetic therapy, especially implant-supported restorations.

Purpose of the Study:

  • To present two case examples of long-term ridge development and preservation in children following anterior dental and alveolar trauma.
  • To illustrate distinct management strategies based on tooth ankylosis status.

Main Methods:

  • Long-term clinical management of two pediatric patients with anterior oral trauma over an 11-year period.
  • Treatment plans were tailored based on the presence or absence of tooth ankylosis.
  • One case involved retaining non-ankylosed fractured roots; the other utilized decoronation for an ankylosed tooth.

Main Results:

  • Successful long-term ridge development and preservation were achieved in both cases.
  • Patients were managed until they reached an age suitable for implant-supported restorations.
  • Differentiated treatment approaches effectively addressed the specific conditions of ankylosed and non-ankylosed teeth.

Conclusions:

  • Protracted clinical management is essential for optimizing outcomes in pediatric anterior oral trauma.
  • Tailored treatment strategies, considering ankylosis, are vital for successful long-term ridge preservation.
  • These approaches provide a foundation for successful future implant-supported restorations in young patients.