Management of a Traumatically Intruded Maxillary Incisor : A Case Report with Long-term Follow-up(International Symposium of Maxillofacial and Oral Regenerative Biology in Okayama 2005)

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The traumatic injuries of the young permanent teeth are common in chilhood. Since the root development is not completed, the management of such cases requires special care. The trauma occurs most commonly in the permanent incisors, resulting in interrupting the radicular development and open apices. In these cases, treatment is aimed at promoting the completion of apical closure, followed by complete filling of the root canal upon the loss of the pulp vitality. Here we report a juvenile child with traumatically intruded maxillary incisor. Initial treatment included the active repositioning of the tooth. However, the follow-up of the patient demonstrated the loss of pulp vitality. Therefore, we treated with a strategy for aiming the root formation. Proper filling up of the root canal followed by the dentine barrier formation by calcium hydroxide and crown restoration were performed. Long-term follow-up of the patient showed excellent prognosis without any discomfort in the daily life as well as any abnormalities in clinical examination and radiographic assessments.
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