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Home Decisions on repositioning of intruded permanent incisors; a review and case presentation

Decisions on repositioning of intruded permanent incisors; a review and case presentation

Authors:

  • E. Hurley
    Cork University Dental School & Hospital, University College Cork, Ireland
  • C. Stewart
    Cork University Dental School & Hospital, University College Cork, Ireland
  • C. Gallagher
    Cork University Dental School & Hospital, University College Cork, Ireland
  • M. Kinirons
    Cork University Dental School & Hospital, University College Cork, Ireland

DOI:

https://doi.org/10.23804/ejpd.2018.19.02.03

ABSTRACT


Aim

BACKGROUND: Traumatic intrusion is a luxation type of injury where the tooth is displaced along the axis of the tooth, into the alveolus. This injury is regarded as serious because of the tissue damage that it causes. The traumatic movement is associated with severe damage to the periodontal ligament, pulpal tissue, root and alveolar socket. Despite its severity, the rare occurrence of this injury in permanent teeth has resulted in limited studies of immature and mature permanent incisors. The purpose of this paper is to review this luxation injury of permanent immature incisors, and to describe its diagnosis, treatment and management. In particular, we describe the repositioning strategies used in cases of intrusion injury. These include (i) monitoring spontaneous re-eruption, (ii) active orthodontic repositioning and (iii) surgical repositioning. Firstly, monitoring spontaneous re-eruption is observing and waiting for the intruded tooth to return to its original position. This process is not a normal developmental eruption and the outcome is not always predictable, nor is the time needed for this to happen. Secondly, active orthodontic repositioning is used to describe the process of rapidly moving the intruded tooth to its original position with the aid of an orthodontic appliance. Active orthodontic repositioning is often misunderstood as normal orthodontic movement. Orthodontic movement allows for periodontal ligament remodelling, using light intermittent forces. In contrast the active orthodontic repositioning used to move intruded incisors is rapid, and the primary aim is to achieve correct tooth position as rapidly as possible. Thirdly, surgical repositioning uses surgical intervention to bring the tooth back to its original position. A case of an intruded immature permanent incisor is presented, with a particular emphasis on these critical decisions on repositioning and showing the use of the three modalities of treatment in sequence, in order to achieve an outcome.

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Publication date:

June /2018

Keywords:

active orthodontic repositioning, dental trauma, immature permanent incisor, intrusion, monitoring spontaneous re-eruption, surgical repositioning

Issue:

Vol.19 – n.2/2018

Page:

101 – 104

Publisher:

Ariesdue

Cite:


Harvard: E. Hurley, C. Stewart, C. Gallagher, M. Kinirons (2018) "Decisions on repositioning of intruded permanent incisors; a review and case presentation", European Journal of Paediatric Dentistry, 19(2), pp101-104. doi: 10.23804/ejpd.2018.19.02.03
Vancouver: E. Hurley, C. Stewart, C. Gallagher, M. Kinirons. Decisions on repositioning of intruded permanent incisors; a review and case presentation. European Journal of Paediatric Dentistry [Internet]. 2018Jun.1 [cited 2023Mar.25];19(2):101-104. Available from: https://www.ejpd.eu/abstract-pubmed/decisions-on-repositioning-of-intruded-permanent-incisors-a-review-and-case-presentation/
MLA: E. Hurley, C. Stewart, C. Gallagher, M. Kinirons Decisions on repositioning of intruded permanent incisors; a review and case presentation. European Journal of Paediatric Dentistry. 2018;19(2):101-104

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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