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Traumatically intruded teeth.

P K Turley1, L B Crawford, K W Carrington

  • 1Section of Orthodontics, School of Dentistry, University of California, Los Angeles.

The Angle Orthodontist
|July 1, 1987
PubMed
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Early orthodontic repositioning and luxation for traumatically intruded teeth in dogs led to the best recovery, though all cases showed some root resorption. This approach minimizes damage and promotes healing in dental trauma.

Area of Science:

  • Veterinary Dentistry
  • Oral Surgery
  • Orthodontics

Background:

  • Traumatic dental intrusion is a common injury in animals.
  • Root resorption is a frequent complication following dental trauma.
  • Effective management strategies for intruded teeth are crucial for preserving dental health.

Purpose of the Study:

  • To evaluate the efficacy of different management strategies for traumatically intruded teeth in dogs.
  • To compare the outcomes of orthodontic force, luxation, and observation.
  • To identify the optimal treatment approach for minimizing complications like root resorption.

Main Methods:

  • Twelve traumatically intruded teeth in three large dogs were treated using various combinations of orthodontic force, luxation, and observation.

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  • Teeth were monitored for signs of healing and complications.
  • Root resorption was assessed in all treated teeth.

    • Main Results:

    • All 12 intruded teeth exhibited some degree of root resorption regardless of the treatment applied.
    • Teeth that underwent early orthodontic repositioning, with adjunctive luxation for immobile teeth, demonstrated superior recovery outcomes.
    • Delayed or less invasive interventions were associated with poorer prognoses.

    Conclusions:

    • Early intervention with orthodontic repositioning is the most effective strategy for managing traumatically intruded teeth in dogs.
    • Luxation may be necessary as an adjunct treatment for immobile teeth to facilitate repositioning.
    • While root resorption is a common sequela, early and appropriate management can significantly improve tooth survival and function.