Comprehensive interdisciplinary management of multiple combination injuries in permanent maxillary anterior teeth in...

Traumatic dental injuries are prevalent among children and adolescents, especially those between 6 and 12 years of age with varying degrees of severity. The complexities of their diagnosis, management and overall prognosis are compounded by their occurrence in combination. International Association of Dental Traumatology guidelines provide a systematic roadmap for the management of isolated dental trauma but the management of a combination of injuries is still left to clinicians' discretion. This case report illustrates the uncommon occurrence of multiple luxation injuries, including avulsion, in an early adolescent female child, concurrently with complicated tooth fractures of maxillary anterior teeth and its 5 year sequelae. The multidisciplinary management of the traumatised teeth involved endodontic therapy and mesialisation of teeth, resulting in a successful aesthetic reconstruction. This report highlights the promising approach of orthodontic treatment combined with prosthetic and/or endodontic therapy to manage combination injuries.