Management of intrusive luxation in the primary dentition by surgical repositioning: an alternative approach

Shanmugam, HV; Arangannal, Ponnudurai; Vishnurekha, C; Nichani, MH; Vijayaprabha, K

doi:10.1111/j.1834-7819.2011.01325.x

Cited by 11 publications

(6 citation statements)

References 18 publications

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“…1 Two case reports 3435 have shown that immediate surgical repositioning of intruded teeth have shown good prognosis for over an year without development of complications. Among the relevant articles in the present review, two papers have evaluated both surgical repositioning and spontaneous re-eruption.…”

Section: Discussionmentioning

confidence: 99%

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Management and Sequelae of Intruded Anterior Primary Teeth: A Systematic Review

Gurunathan

Murugan

Somasundaram

2016

International Journal of Clinical Pediatric Dentistry

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ObjectiveThe objective of this systematic review is to analyze the various treatment modalities and sequelae of intruded anterior primary teeth.Materials and methodsElectronic search in PubMed, Cochrane, and Science Direct databases was done. Hand search was performed using the reference list of chosen articles from electronic search. Three reviewers analyzed the articles independently, assessed the quality of the studies, and derived data.ResultsTen case series were identified from the electronic and hand search. No randomized control studies were available. In the observational studies treatment of intruded primary teeth ranged from conservative management, which includes waiting for spontaneous re-eruption as well as repositioning to invasive procedure, such as extraction.ConclusionSpontaneous eruption is a treatment option of intruded primary teeth in absence of damage to a permanent tooth. Surgical repositioning of intruded primary teeth has also shown as a viable alternative treatment modality. Extraction to be performed if complications develop.How to cite this articleGurunathan D, Murugan M, Somasundaram S. Management and Sequelae of Intruded Anterior Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent 2016;9(3):240-250.

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Section: Discussionmentioning

confidence: 99%

“…Though with a few case series we cannot assess the benefits of surgical repositioning, it can be done in a situation when there is no impact of primary root on permanent tooth bud, when there is moderateto-severe intrusion, when the child is cooperative, and when both child and parent can be motivated to maintain oral hygiene. 35 …”

Section: Discussionmentioning

confidence: 99%

Management and Sequelae of Intruded Anterior Primary Teeth: A Systematic Review

Gurunathan

Murugan

Somasundaram

2016

International Journal of Clinical Pediatric Dentistry

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“…Intrusive luxation is one of the most common types of trauma, accounting for 8%-22% of all luxation injuries of the primary anterior teeth, 1 and studies performed in different countries have reported a prevalence of up to 54%. [2][3][4] Intrusive luxation results in axial displacement of the tooth into the alveolar bone. This may cause damage to the periodontal structures and pulp through crushing and rupture of the fibers of the periodontal ligament and vascular supply, with rupture of the neurovascular supply to the pulp.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have evaluated the prognosis of intruded teeth. 3,9,[14][15][16] The present study sought to enhance knowledge on the influence of the degree of intrusion on the prognosis of affected teeth and permanent successors. The aim of study was to assess intrusive luxation of primary teeth and the influence of the degree of intrusion on the frequency of spontaneous re-eruption and on the occurrence of sequelae.…”

Section: Introductionmentioning

confidence: 99%

Prognosis of primary teeth following intrusive luxation according to the degree of intrusion: A retrospective cohort study

Silva

Costa

Goettems

2021

Dental Traumatology

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Background/Aim: The degree of intrusion is an important aspect to be evaluated when treating children following intrusive luxation. The aim of this retrospective cohort study was to evaluate re-eruption rates and the occurrence of sequelae in intruded primary teeth according to the degree of intrusion. Material and methods:A total of 238 teeth from 168 patients diagnosed with and treated for intrusion over a 16-year period at a specialized trauma center in South Brazil were included in this study. Patient details, including demographic characteristics, tooth affected, presence of sequelae of trauma during the follow up (pulp necrosis and infection, crown discoloration and abnormal mobility), and any effects on the permanent successors, were collected from their records. Photographs were analyzed to determine the degree of intrusion (Grade I, II, or III) and spontaneous re-eruption during follow up. Re-eruption and occurrence of sequelae according to the degree of intrusion were evaluated using the chi-squared test. The level of significance was set at 5%. Results:Most teeth were maxillary central incisors (87.8%) with Grade I intrusion (32.8%). In the first 30 days, 13.1% had signs of re-eruption. After 3-6 months, the frequency of re-eruption increased to 58.7%. Of the teeth evaluated 6 months or more after intrusion, 68% had re-erupted. Total intrusion (Grade III) was associated with pulp necrosis and infection (p = .002), but the degree of intrusion was not associated with the presence of crown discoloration or abnormal mobility. Of the 78 permanent successors evaluated, 52.6% had developmental disturbances. Conclusion:Most intruded primary teeth re-erupted spontaneously, and the degree of intrusion was associated with a worse prognosis.

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“…Primary tooth intrusion may result in a variety of pathological alterations to permanent teeth, including hypoplasia; crown dilaceration; root angulation or dilaceration; partial or complete arrest of root formation; sequestration of the permanent tooth germ; and disturbances in eruption 19 . Depending on the severity of the intrusion, the American Academy of Pediatric Dentistry recommends either extraction or spontaneous re-eruption for the primary tooth 20 . In most cases, treatment of complicated injuries in primary dentition has been limited to extraction of the affected tooth 13,21 .…”

Section: öZetmentioning

confidence: 99%

Orthodontic Eruption as an Alternative Treatment for Primary Teeth Intrusions: A Case Report

Bani¹,

Gider²

2015

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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This case report aim describes orthodontic eruption as an alternative treatment option for the management of intruded primary tooth. Case Report: A 5-year-old boy was referred to the Gulhane Medical Academy Centre of Dental Sciences Department, 30 minutes after he suffered a dental trauma. In intraoral examination the intrusion of the upper right primary central incisor ( 51) and only clinical incisal crown tip could be examined. Although 4 weeks waiting for re-eruption, teeth did not move. An orthodontic appliance was used for eruption of the intruded tooth with rubber ronder and a button on the surface of 51. Results: Two weeks later after eruption of 51 appliance has been given-up. The patient was taken regular follow ups for 3 years. Permanent central incisors erupted normally after 3 years. Conclusion: Orthodontic eruption may not be the first treatment choice but it can be an alternative treatment with correct indication and short time use for intruded primary teeth.

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Management of intrusive luxation in the primary dentition by surgical repositioning: an alternative approach

Cited by 11 publications

References 18 publications

Management and Sequelae of Intruded Anterior Primary Teeth: A Systematic Review

Management and Sequelae of Intruded Anterior Primary Teeth: A Systematic Review

Prognosis of primary teeth following intrusive luxation according to the degree of intrusion: A retrospective cohort study

Orthodontic Eruption as an Alternative Treatment for Primary Teeth Intrusions: A Case Report

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