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Multidisciplinary Management of Intrusive Luxation: Four-year Clinical Follow-up
J S Silva1, Apcq Herkrath2, D G Pontes3
1*Jardel dos Santos Silva, MSc, Post-Graduate Program in Dentistry, Dental School, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Operative Dentistry
|October 24, 2022
Summary
This case study demonstrates a multidisciplinary approach for managing intrusive luxation and crown fractures in permanent incisors. The treatment successfully restored dental function, aesthetics, and improved the patient
Area of Science:
- Dentistry
- Oral Surgery
- Orthodontics
Background:
- Intrusive luxation and crown fractures in permanent incisors pose complex management challenges.
- Early and comprehensive intervention is crucial for optimal outcomes.
Observation:
- An 11-year-old female presented with traumatic dental injuries, including crown fractures and intrusive luxation of maxillary incisors (teeth 8, 9, and 10).
- The case required a coordinated, multidisciplinary treatment strategy.
Findings:
- The treatment involved periodontal surgery, orthodontic traction, endodontic therapy, dental bleaching, and composite restorations.
- Two-year follow-up showed satisfactory clinical results, including periodontal and periapical health.
- Significant improvement in oral health-related quality of life (OHRQoL) was reported post-treatment, assessed using the OHIP-Aes instrument.
Implications:
- A multidisciplinary approach is highly effective for managing complex intrusive luxation cases.
- Successful treatment can restore dentofacial function and aesthetics.
- Improving patient's quality of life is a key outcome of comprehensive dental trauma management.
