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Traumatic injuries to permanent incisors: a case report
1University of Siena, Italy.
Quintessence International (Berlin, Germany : 1985)
|October 1, 1994
Summary
This case report details managing severe trauma to maxillary incisors. Dental implants and restorative treatments successfully restored function and aesthetics.
Area of Science:
- Dentistry
- Oral Surgery
- Dental Implantology
Background:
- Traumatic dental injuries to maxillary incisors can lead to avulsion, luxation, and fracture.
- Maintaining alveolar bone height and adjacent tooth integrity is crucial after severe incisor trauma.
Observation:
- A case involving avulsed right central and lateral incisors, luxated left central incisor, and fractured left lateral incisor due to direct trauma.
- The avulsed teeth were not recovered, necessitating replacement with dental implants.
Findings:
- Osseointegrated implants were used to replace the avulsed maxillary incisors, preventing alveolar bone resorption.
- The luxated central incisor received endodontic treatment with a cast post and core, while the fractured lateral incisor was restored with composite resin.
- All restored teeth, including implant crowns and the composite restoration, achieved satisfactory esthetic and functional outcomes.
Implications:
- Dental implants offer a viable long-term solution for replacing avulsed incisors, preserving bone and adjacent teeth.
- A combination of advanced endodontic, restorative, and implant techniques can effectively manage complex maxillary incisor trauma.
- This case highlights the importance of timely and comprehensive treatment for traumatic dental injuries to achieve optimal patient outcomes.