Results of orthodontic treatment of permanent upper incisors intrusive luxation: a clinical case

Abstract

Relevance. Dental trauma prevalence is high among children. Treatment of intrusive luxation, where the choice of treatment technique depends on the root formation stage, is of particular interest.Clinical case description. The article presents the treatment results of an 8-year-old patient with mixed dentition. The patient was diagnosed with an intrusive luxation of teeth 1.1, 2.1, soft tissue contusion, and fracture of the maxillary alveolar process.Thirteen days after the injury, we started the orthodontic treatment with a bracket system (ROTH 018 Micro-Sprint) placed on the upper teeth, controlled by cone-beam computed tomography (CBCT). Arches and elastics were consecutively changed during the treatment. In nine and a half months, teeth 1.1 and 2.1 were extruded. Functional and aesthetic parameters were restored. We assessed stability of the obtained result 18 months after the start of orthodontic treatment.Conclusion. The intrusive luxation treatment planning calls for a thorough history and diagnosis data comparison. The choice of non-surgical treatment without tooth extraction requires informing the patient about possible complications, treatment difficulties and long-term follow-up observation. The successful treatment outcome needs comprehensive patient management by a multidisciplinary team of a maxillofacial surgeon, pediatric dentist, orthodontist and other related specialists, if necessary.