Management of Dentoalveolar Trauma in Late Mixed Dentition

Abstract

Dentoalveolar trauma leading to intrusion and lateral luxation of maxillary lateral and central permanent incisor in late mixed dentition phase is reported. The laterally luxated central incisor tooth was splinted for 3 weeks. Endodontic treatment of the same with intracanal calcium hydroxide dressing and subsequent obturation with gutta-percha was accomplished after splint removal. The intruded lateral incisor was kept under observation to allow spontaneous re-eruption. Clinical and radiographic follow-up to 9 months revealed satisfactory periodontal healing of the repositioned maxillary central incisor and passive re-eruption of intruded lateral incisor. The central incisor was esthetically restored and mouthgaurd was fabricated to prevent future injuries to the dentition.