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Delayed Repositioning of Traumatically Displaced Maxillary Central Incisor Using Forceps - A Case Report
Neelam Mittal1, Deepti Singh, Sakshi Gupta
1Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Summary
This case report details managing a laterally luxated permanent incisor using forceps-assisted extrusion and splinting. Long-term follow-up confirmed successful healing and tooth preservation without complications.
Area of Science:
- Dental Traumatology
- Oral Surgery
- Endodontics
Background:
- Lateral luxation involves non-axial tooth displacement and periodontal ligament (PDL) damage.
- Management of delayed presentation of traumatic dental injuries poses clinical challenges.
Purpose of the Study:
- To present the successful management of a laterally luxated permanent maxillary central incisor with delayed presentation.
- To highlight the importance of timely intervention and comprehensive follow-up in traumatic dental injuries.
Main Methods:
- A 43-year-old female patient with a laterally luxated incisor presented 15 days post-trauma.
- Forceps-assisted extrusion, repositioning, and stabilization with a fiber-reinforced composite splint were performed.
- Endodontic treatment was initiated due to pulp vitality loss, followed by long-term clinical evaluation.
Main Results:
- The treated incisor showed no mobility and normal probing depths at 3-year follow-up.
- Radiographic assessment confirmed an intact PDL space, with no signs of ankylosis or resorption.
- Successful long-term tooth preservation was achieved.
Conclusions:
- Timely surgical repositioning is crucial for managing lateral luxation, even with delayed presentation.
- Appropriate splinting and endodontic management are vital for favorable outcomes.
- This case underscores the effectiveness of a structured approach in ensuring long-term success for traumatic dental injuries.