Clinical Follow-up and Subluxation in Permanent Maxillary Incisor Trauma: A Case Report on the Importance of Monitoring
Öz
Damage to the teeth after trauma in the maxillofacial region is one of the most frequently encountered problems. In traumas occurring during permanent dentition, lateral luxation, subluxation and shaking of the incisors may be encountered. Splinting is recommended in these cases, but splinting may be difficult after trauma in cases with crowding. Attention should be paid to the vitality of the teeth and the symptoms of necrosis. The aim of this case report is to present the treatment, follow-up radiographs and photographs of the permanent upper incisors of a traumatised 16-year-old male patient. The patient had lateral luxation of tooth number 11, subluxation of tooth number 21 and concusion injuries of teeth number 12,13,22,23. Panoramic radiography and cone beam computed tomography revealed no alveolar fracture. After sixteen months of follow-up, no clinical and radiographic complications were observed.
Anahtar Kelimeler
Kaynakça
- 1. Andreasen FM, Pedersen B V. Prognosis of luxated permanent teeth - the development of pulp necrosis. Endod Dent Traumatol. 1985;1(6):207-20.
- 2. Cohenca N, Silberman A. Contemporary imaging for the diagnosis and treatment of traumatic dental injuries: a review. Dent Traumatol. 2017;33(5):321-8.
- 3. Kühnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent. 2020;21(4):375-86.
- 4. Petersson EE, Andersson L, Sörensen S. Traumatic oral vs non-oral injuries. Swed Dent J. 1997;21(1–2):55–68.
- 5. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J. 2000;45(1):2–9.
- 6. Mader C. Restoration of a fractured anterior tooth. J Am Dent Assoc. 1978;96(1):113–5.
- 7. Fried I, Erickson P, Schwartz S, Keenan K. Subluxation injuries of maxillary primary anterior teeth: epidemiology and prognosis of 207 traumatized teeth. Pediatr Dent. 1996;18(2):145–51.
- 8. Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, et al. Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dental Traumatology. 2007;23(2):66–71.
- 9. Holan G. Long-term effect of different treatment modalities for traumatized primary incisors presenting dark coronal discoloration with no other signs of injury. Dent Traumatol. 2006;22(1):14–7.
- 10. Bastos JV, Goulart EMA, de Souza Côrtes MI. Pulpal response to sensibility tests after traumatic dental injuries in permanent teeth. Dent Traumatol. 2014;30(3):188–92.
- 11. Zadik D, Chosack A, Eidelman E. The prognosis of traumatized permanent anterior teeth with fracture of the enamel and dentin. Oral Surg Oral Med Oral Pathol. 1979;47(2):173–5.
- 12. Andreasen JO, Storgård Jensen S, Sae‐Lim V. The role of antibiotics in preventing healing complications after traumatic dental injuries: a literature review. Endod Topics. 2006;14(1):80–92.
- 13. Kahler B, Heithersay GS. An evidence-based appraisal of splinting luxated, avulsed and root-fractured teeth. Dent Traumatol. 2008;24(1):2–10.
- 14. Lago L, da Silva L, Fernandez-Formoso N, Rilo B. Extrusive luxation. Therapeutic procedure. Clin Case Rep. 2023;11(5):e7289.
- 15. Hermann NV, Lauridsen E, Ahrensburg SS, Gerds TA, Andreasen JO. Periodontal healing complications following extrusive and lateral luxation in the permanent dentition: a longitudinal cohort study. Dent Traumatol. 2012;28(5):394–402.
- 16. Mahmoodi B, Rahimi-Nedjat R, Weusmann J, Azaripour A, Walter C, Willershausen B. Traumatic dental injuries in a university hospital: a four-year retrospective study. BMC Oral Health. 2015;15(1):139.
- 17. Wankhade AD, Pandey RK, Singh RK, Gondhalekar R. A novel approach in management of lateral luxation of primary tooth. BMJ Case Rep. 2013;22:2013.
- 18. Jha S, Balachandran R, Sharma S, Kumar V, Chawla A, Logani A. A Novel Approach to Repositioning and Stabilization of a Luxated Tooth With Displacement Using a 3D Printed Guide. J Endod. 2022;48(7):936–42.
Daimi Maksiller Keser Diş Travmalarında Klinik İzlem ve Sublüksasyon: Takip Sürecinin Önemi Üzerine Bir Olgu Sunumu
Öz
Çene yüz bölgesinde yaşanan travma sonrası dişlerde hasar meydana gelmesi sıklıkla karşılaşılan problemlerdendir. Daimi dentisyon sırasında meydana gelen travmalarda ise kesici dişlerin lateral lüksasyonuna, sublüksasyona ve sarsılmaya rastlanabilir. Bu durumlarda splintlenme önerilmekte ancak çapraşıklığı olan olgularda travma sonrası splint yapımında güçlük yaşanabilmektedir. Dişlerin canlılığının takibine ve nekroz semptomlarına dikkat edilmelidir. Bu vaka raporunun amacı, travma geçirmiş 16 yaşında bir erkek hastanın daimi üst keserlerinin tedavi, takip radyografisi ve fotoğraflarını sunmaktır. Hastanın 11 numaralı dişinde lateral lüksasyon, 21 numaralı dişinde sublüksasyon;12,13,22,23 numaralı dişlerinde ise konküzyon yaralanması tespit edilmiştir. Alınan panoramik radyografi ve konik ışınlı bilgisayarlı tomografi incelendiğinde alveolar kırık tespit edilmemiştir. On altı aylık takip sonucunda klinik ve radyografik olarak herhangi bir komplikasyona rastlanmamıştır.
Anahtar Kelimeler
Konik Işınlı Bilgisayarlı Tomografi Lateral Lüksasyon Splint
Kaynakça
- 1. Andreasen FM, Pedersen B V. Prognosis of luxated permanent teeth - the development of pulp necrosis. Endod Dent Traumatol. 1985;1(6):207-20.
- 2. Cohenca N, Silberman A. Contemporary imaging for the diagnosis and treatment of traumatic dental injuries: a review. Dent Traumatol. 2017;33(5):321-8.
- 3. Kühnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent. 2020;21(4):375-86.
- 4. Petersson EE, Andersson L, Sörensen S. Traumatic oral vs non-oral injuries. Swed Dent J. 1997;21(1–2):55–68.
- 5. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J. 2000;45(1):2–9.
- 6. Mader C. Restoration of a fractured anterior tooth. J Am Dent Assoc. 1978;96(1):113–5.
- 7. Fried I, Erickson P, Schwartz S, Keenan K. Subluxation injuries of maxillary primary anterior teeth: epidemiology and prognosis of 207 traumatized teeth. Pediatr Dent. 1996;18(2):145–51.
- 8. Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, et al. Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dental Traumatology. 2007;23(2):66–71.
- 9. Holan G. Long-term effect of different treatment modalities for traumatized primary incisors presenting dark coronal discoloration with no other signs of injury. Dent Traumatol. 2006;22(1):14–7.
- 10. Bastos JV, Goulart EMA, de Souza Côrtes MI. Pulpal response to sensibility tests after traumatic dental injuries in permanent teeth. Dent Traumatol. 2014;30(3):188–92.
- 11. Zadik D, Chosack A, Eidelman E. The prognosis of traumatized permanent anterior teeth with fracture of the enamel and dentin. Oral Surg Oral Med Oral Pathol. 1979;47(2):173–5.
- 12. Andreasen JO, Storgård Jensen S, Sae‐Lim V. The role of antibiotics in preventing healing complications after traumatic dental injuries: a literature review. Endod Topics. 2006;14(1):80–92.
- 13. Kahler B, Heithersay GS. An evidence-based appraisal of splinting luxated, avulsed and root-fractured teeth. Dent Traumatol. 2008;24(1):2–10.
- 14. Lago L, da Silva L, Fernandez-Formoso N, Rilo B. Extrusive luxation. Therapeutic procedure. Clin Case Rep. 2023;11(5):e7289.
- 15. Hermann NV, Lauridsen E, Ahrensburg SS, Gerds TA, Andreasen JO. Periodontal healing complications following extrusive and lateral luxation in the permanent dentition: a longitudinal cohort study. Dent Traumatol. 2012;28(5):394–402.
- 16. Mahmoodi B, Rahimi-Nedjat R, Weusmann J, Azaripour A, Walter C, Willershausen B. Traumatic dental injuries in a university hospital: a four-year retrospective study. BMC Oral Health. 2015;15(1):139.
- 17. Wankhade AD, Pandey RK, Singh RK, Gondhalekar R. A novel approach in management of lateral luxation of primary tooth. BMJ Case Rep. 2013;22:2013.
- 18. Jha S, Balachandran R, Sharma S, Kumar V, Chawla A, Logani A. A Novel Approach to Repositioning and Stabilization of a Luxated Tooth With Displacement Using a 3D Printed Guide. J Endod. 2022;48(7):936–42.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Endodonti |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2025 |
| Gönderilme Tarihi | 10 Mart 2025 |
| Kabul Tarihi | 23 Nisan 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 4 Sayı: 1 |
Başlangıç: 2022
Yayın Aralığı: Yılda 3 sayı
Yayıncı: Akdeniz Üniversitesi