Posttraumatic impaction of maxillary central incisors: A 20-year follow-up

AJO-DO clinical companion Pub Date : 2024-12-01 DOI:10.1016/j.xaor.2024.09.004

Emilio Macias-Escalada , Félix de Carlos-Villafranca

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Abstract

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The treatment outcomes of impacted teeth resulting from trauma are often uncertain. The presence of root dilaceration and the displacement of the affected tooth increase the uncertainty regarding forced eruption, long-term prognosis, and stability. This paper presents the follow-up of a patient who presented with complete inversion (2 teeth were completely upside down, with the crowns facing the nasal floor and the roots toward the alveolar bone) and severe dilaceration of the maxillary central incisors resulting from dental trauma. The treatment involved a 2-stage surgical forced-eruption orthodontic technique, successfully repositioning both teeth in the arch and achieving good occlusal and periodontal results. The patient was 10 years old at the beginning of the treatment. A 20-year follow-up after the forced eruption showed maintenance of function, periodontal situation, and esthetics.

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上颌中切牙创伤后嵌塞：20年随访

下载：下载高分辨率图片（74KB）下载：下载全尺寸图片由于外伤引起的埋伏牙的治疗结果常常是不确定的。牙根扩张和患牙移位的存在增加了强制出牙、长期预后和稳定性的不确定性。本文报道一例因牙齿外伤导致上颌中切牙严重扩张，出现完全内翻（2颗牙齿完全倒置，牙冠朝向鼻底，牙根朝向牙槽骨）的患者的随访。治疗包括两个阶段的手术强制萌出正畸技术，成功地将两颗牙齿在弓中重新定位，并获得良好的咬合和牙周效果。患者在治疗开始时只有10岁。强制出牙后20年的随访显示功能、牙周状况和美观均得以维持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AJO-DO clinical companion Dentistry, Oral Surgery and Medicine

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审稿时长

73 days