ORTHODONTIC ERUPTION AS AN ALTERNATIVE TREATMENT FOR PRIMARY TEETH INTRUSIONS: A CASE REPORT

Year 2015, Supplement 11, 13 - 16, 07.10.2015

Mehmet Bani , Korhan Gider

https://doi.org/10.17567/dfd.35502

Abstract

Purpose: 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

Keywords

Intrusion, orthodontic appliance, primary dentition

SÜT DİŞİ İNTRÜZYONUNDA ALTERNATİF BİR TEDAVİ OLARAK ORTODONTİK SÜRDÜRME: OLGU RAPORU

Abstract

Amaç: Bu olgu sunumu amacı süt dişi intrüzyonu için
alternatif bir tedavi seçeneği olarak ortodontik
sürdürme anlatmaktır.
Olgu Raporu: 5 yaşındaki erkek çocuk Gülhane Tıp
Akademisi Merkezi Diş Hekimliği Bölümü'ne diş
travması şikayeti ile travmadan 30 dakika sonra
başvurdu. Ağız içi muayenesinde, sağ üst süt orta
kesici dişte (51) sadece insizal kronu görülen bir
intrüzyon bulunmaktaydı. Geri sürmesi için 4 hafta
beklendi ancak dişte hareket olmadı. Ortodontik
aparey, 51 nolu dişin bukkal yüzeyinde bir metal buton
ve lastik kullanılarak intrüze dişin sürdürülmesi için
kullanıldı.
Bulgular: İki hafta sonra sonra 51’in sürmesi ile
aparey kullanımı bırakıldı. Hasta 3 yıl boyunca düzenli
kontrolleri yapıldı. Hasta 3 yıl takibi sonunda daimi
santral kesici dişin normal sürdüğü görüldü.
Sonuç: Süt dişi intrüzyonlarında otodontik sürdürme
ilk tercih edilen tedavi seçeneği olmayabilir ancak
doğru endikasyon ve kısa süre kullanımı ile alternatif
bir tedavi olabilir

Keywords

İntrüzyon, ortodontik aparey, süt dişlenme

References

• Rocha MJ, Cardoso M. Survival analysis of endodontically treated traumatized primary teeth. Dent Traumatol 2007;23:340-7.
• Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic Injuries to the Teeth. 4th Munksgaard; 2007.
• Unal M, Tuğut F, Demir H. Three years follow up of traumatic complicated crown fracture and lateral luxation treatment: case report. J Dent Fac Atatürk Uni 2013;13:380-4.
• Canoglu E, Akcan CA, Baharoglu E, Gungor HC, Cehreli ZC. Unusual ectopic eruption of a permanent central incisor following an intrusion injury to the primary tooth. J Can Dent Assoc 2008;74:723-6.
• Harrington MS, Eberhart AB, Knapp JF. Dentofacial trauma in children. ASDC J Dent Child 1988;55:334-8.
• Borum MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Endod Dent Traumatol 1998;14:31-44.
• Orders ML, Koch G. Developmental disturbances in permanent successors after injuries to maxillary primary incisors. Eur J Pediatr Dent 2001;2:165- 72.
• Koch G, Poulsen S. Pediatric dentistry a clinical approach. 2nd ed. Wiley-Blackwell; 2009.
• Gondim JO, Moreira Neto JJ. Evaluation of intruded primary incisors. Dent Traumatol 2005;21:131-3.
• Kargul B, Çağlar E, Tanboğa I. Dental trauma in Turkish children, Istanbul. Dent Traumatol 2003;19:72-5.
• Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surgery 1972;1:235-9.
• Galea H. An investigation of dental injuries treated in an acute general hospital. J Am Dent Assoc 1984;109:434-8.
• Gomes AC, Messias LPDA, Delbem ACB, Cunha RF. Developmental disturbance of an unerupted permanent ıncisor due to trauma to ıts predecessor. J Can Dent Assoc 2010;76:a57.
• Pinkham JR, Casamassimo PS, McTigue DJ, Fields HW, Nowak AJ. Pediatric dentistry: Infancy through adolescence. 4th ed. Elsevier Saunders; 2005.
• Holan G, Ram D. Sequelae and prognosis of intruded primary incisors: a retrospective study. Pediatr Dent 1999;21:242-7.
• Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 2002;18:287-98.
• Carvalho V, Jacomo DR, Campos V. Frequency of intrusive luxation in deciduous teeth and its effects. Dent Traumatol 2010;26:304-7.
• Odersjö ML, Koch G. Developmental disturbances in permanent successors after injuries to maxillary primary incisors. Eur J Pediatr Dent 2001;2:165- 72.
• Diab M, el Badrawy HE. Intrusion injuries of primary incisors. Part III: effects on the permanent successors. Quintessence Int 2000;31:377-84.
• Shanmugam HV, Arangannal P, Vishnurekha C, Nichani MH, Vijayaprabha K. Management of intrusive luxation in the primary dentition by surgical repositioning: an alternative approach. Aust Dent J 2011;56:207-11.
• Kahabuka FK, Willemsen W, van’t Hof M, Ntabaye MK, Burgersdijk R, Frankenmolen F, et al. Initial treatment of traumatic dental injuries by dental practitioners. Endod Dent Traumatol 1998;14:206- 9.