Management of ankylosed young permanent incisors after trauma and prior to implant rehabilitation

Abstract

The objective of this clinical report is to present decoronation of young permanent ankylosed incisors as an option to preserve the alveolar process in young people where implant rehabilitation is not yet indicated. A 13‐year‐old patient presented with intrusive luxation of the permanent maxillary lateral incisor and lateral luxation of both permanent maxillary central incisors. During 6 months, clinical and radiographic evaluation showed progressive root replacement resorption, and surgical decoronation was recommended for all three incisors and left for a period of 6 years until the implant and grafting procedures be performed. Decoronation in young teeth is a reliable technique in terms of preservation of the width and height of the alveolar process, and improves the aesthetic conditions after installation of the provisional prosthetics. Decoronation may be considered an alternative strategy for complex posttraumatic clinical scenarios, such as young ankylosed incisors.

Immediate post‐operative rehabilitation after decoronation. A systematic review

“…However, without reference to the restorations, it was not possible to include it in this systematic literature review. The findings in this systematic review lead to the conclusion that although decoronation of ankylosed teeth is considered the gold standard treatment for young growing patients, many professionals still do not use it . The variety of provisional restorations of decoronation in the case reports indicates the need for further research, which should indicate the advantages and disadvantages of each option and will provide recommendations for planning the most appropriate solution for each decoronated tooth.…”

“…Replacement root resorption and ankylosis are serious sequelae of traumatic injuries . Decoronation is an efficient and predictable approach aimed at preserving the alveolar bone.…”

“…Replacement root resorption and ankylosis are serious sequelae of traumatic injuries. [24][25][26] Decoronation is an efficient and predictable approach aimed at preserving the alveolar bone. The procedure is relatively simple and well tolerated by children and adolescents.…”

“…The findings in this systematic review lead to the conclusion that although decoronation of ankylosed teeth is considered the gold standard treatment for young growing patients, many professionals still do not use it. 24 The vari-…”

Effectiveness of decoronation technique in the treatment of ankylosis: A systematic review

“…Use of decoronation technique to preserve the implant site, does not exclude the possibilities of bone grafting. As confirmed by Calasans‐Maia , decoronation can help to preserve initial bone required for primary bone stability, while additional grafts are relied on for secondary stability and implant coverage.…”