Esthetic rehabilitation of intrusive luxation injury: A multidisciplinary approach

Abstract

A 21-year-old male patient reported a chief complaint of a highly placed upper front tooth following a road traffic accident. Clinical examination revealed mild edema on the upper lip and intrusive luxation injury of the maxillary left central incisor. Radiographs showed 8 mm of intrusion without any root fractures. Orthodontic extrusion was initiated, and the tooth was engaged using stainless steel ligature, and activated by 2 mm. Precision was done 3 weeks before debonding to prevent relapse. Debonding was carried out 6 months poststrap up. An endodontic procedure was initiated and calcium-hydroxide dressing was placed as an intracanal medicament for 2 weeks. Obturation was done using gutta-percha and bioceramic sealer followed by postendodontic management with all-ceramic crowns. The patient is under periodic follow-up.