<abstract xmlns="http://www.w3.org/1999/xhtml">

A case is reported in which an intruded incisor was initially treated by an endodontic dressing with calcium hydroxide and then extruded using a removable orthodontic appliance.
A follow-up examination seven years after completion of endodontic therapy and bleaching showed a favourable response.
A review of the relevant literature indicates that intrusion occurs in five to twelve per cent of luxation cases.
In this type of injury maximum damage occurs to the pulp and all supporting structures because the tooth is driven into the alveolar process.
Complications which have been reported include: pulp necrosis, apical radiolucencies, partial or total pulp calcification, root resorption (surface, inflammatory or replacement), marginal periodontal bone breakdown, and arrested or disturbed root development.
The prognosis for pulp survival after intrusion is much more favourable for teeth with incomplete root formation than for teeth with complete root formation.
Treatment options available to bring an intruded tooth into alignment are: to await spontaneous re-eruption which may occur if root formation is incomplete, uncovering of the intruded crown, orthodontic extrusion which is allied with gentle luxation if the tooth does not move, and immediate surgical repositioning.
</abstract>

A case is reported in which an intruded incisor was initially treated by an endodontic dressing with calcium hydroxide and then extruded using a removable orthodontic appliance.
A follow-up examination seven years after completion of endodontic therapy and bleaching showed a favourable response.
A review of the relevant literature indicates that intrusion occurs in five to twelve per cent of luxation cases.
In this type of injury maximum damage occurs to the pulp and all supporting structures because the tooth is driven into the alveolar process.
Complications which have been reported include: pulp necrosis, apical radiolucencies, partial or total pulp calcification, root resorption (surface, inflammatory or replacement), marginal periodontal bone breakdown, and arrested or disturbed root development.
The prognosis for pulp survival after intrusion is much more favourable for teeth with incomplete root formation than for teeth with complete root formation.
Treatment options available to bring an intruded tooth into alignment are: to await spontaneous re-eruption which may occur if root formation is incomplete, uncovering of the intruded crown, orthodontic extrusion which is allied with gentle luxation if the tooth does not move, and immediate surgical repositioning.

The Treatment of Traumatized Permanent Anterior Teeth: Case Report &amp; Literature Review Part I - Mangement of Inruded Incisors

Senior Associate, The University of Melbourne

Australasian Orthodontic Journal

This work is licensed under the Creative Commons Attribution 4.0 International License.

The Treatment of Traumatized Permanent Anterior Teeth: Case Report & Literature Review Part I - Mangement of Inruded Incisors

A case is reported in which an intruded incisor was initially treated by an endodontic dressing with calcium hydroxide and then extruded using a removable...

The Treatment of Traumatized Permanent Anterior Teeth: Case Report & Literature Review Part I - Mangement of Inruded Incisors

Published Online: Jan 17, 2024

Page range: 213 - 218

Received: May 01, 1994

Accepted: Jan 01, 1995

DOI: https://doi.org/10.2478/aoj-1995-0001

Keywords
Corrective orthodontics, pulp necrosis, root resorption, tooth luxation

© 1995 Stanley Jacobs, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

The Treatment of Traumatized Permanent Anterior Teeth: Case Report & Literature Review Part I - Mangement of Inruded Incisors

Published Online: Jan 17, 2024

Page range: 213 - 218

Received: May 01, 1994

Accepted: Jan 01, 1995

DOI: https://doi.org/10.2478/aoj-1995-0001

KeywordsCorrective orthodontics, pulp necrosis, root resorption, tooth luxation

© 1995 Stanley Jacobs, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
Corrective orthodontics, pulp necrosis, root resorption, tooth luxation