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Orthodontic Extrusion of a Traumatically Intruded and Subsequently Ankylosed Incisor Following Surgical Luxation: A
Kun Li1, Deming Yu1, Mengchao Chi2
1Fushan Division, The Affiliated Yantai Stomatological Hospital, Binzhou Medical University, Yantai, China, bzmc.edu.cn.
Background:
The self-healing process following intrusive luxation of a tooth is often associated with serious complications, such as ankylosis. Once traumatic ankylosis is confirmed, spontaneous re-eruption of the intruded tooth is unlikely, and timely intervention is crucial to facilitate its repositioning.
Case Report:
This case report details the systematic management of an adolescent patient with a traumatically intruded incisor. Ankylosis was diagnosed after the tooth showed no spontaneous re-eruption during monitoring and failed to respond to orthodontic traction. Surgical luxation was promptly performed, and the ankylosed incisor was effectively guided into position following subsequent orthodontic extrusion. Throughout the follow-up period, the treatment outcomes remained stable, with no adverse sequelae observed.
Conclusion:
This case report demonstrates that surgical luxation combined with orthodontic extrusion can be one of the effective approaches for realigning traumatically ankylosed permanent teeth.
