Dental trauma in children. Dislocation. Diagnostic features, treatment and prophylaxis

Abstract

Traumatic dental injury (TDI) is a public health problem with high prevalence and incidence rates. Appropriate intervention can significantly reduce subsequent complications of these events. This case report describes the clinical interventions to manage a patient with traumatic maxillary incisor with extrusive dislocation . The intervention aimed to preserve pulpal vitality and ensure periodontal maintenance to the highest possible degree. In this article, the patient referred to the ,, Spitalul Clinic Republican pentru Copii „Emilian Coțaga””with dental trauma who suffered extrusive dislocation of maxillary lateral incisor d.12 . The patient reported that he suffered a direct blow to the OMF region. The case will document the clinical approach taken for d.12 permanent maxillary incisor with extrusive dislocation in a 17-yearold boy. The proposed procedures involved repositioning of the tooth, by digital pressure and stabilization using a rigid splint namely with the help of fixed orthodontic straight Muspring Ni-Ti appliance with 14mm diameter for 3-4 weeks ,plus bracket refixation on the tooth surface. X-rays are useful to visualize the displacement of the tooth in the alveolus and its repositioning. In this case we will use the OPG paraclinical examination as a diagnostic source. However, long-term clinical and radiological follow-up (3,6,12 months) is necessary to prevent and detect early any complications that may arise from extrusive dislocation. Lacunar, apical or superficial root resorption, pulpal necrosis may occur from which the treatment tactics should be modified, respectively, and the rehabilitation time will be different.