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Management of intrusive luxation injuries
Author(s) -
Oulis C.,
Vadiakas G.,
Siskos G.
Publication year - 1996
Publication title -
dental traumatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 81
eISSN - 1600-9657
pISSN - 1600-4469
DOI - 10.1111/j.1600-9657.1996.tb00108.x
Subject(s) - medicine , dental trauma , root resorption , ankylosis , pulp necrosis , dentistry , intrusion , treatment modality , orthodontics , resorption , surgery , pulp (tooth) , pathology , geochemistry , geology
Traumatic intrusion of permanent teeth is a relatively infrequent but serious type of dental injury, cine to the complicated picture it involves. Various treatment approaches have been suggested, so far, regarding management of intrusive luxation. Techniques aiming to reposition the intruded tooth include observation for spontaneous reeruption, surgical as well as orthodontic repositioning. However, development of complications such as pulp necrosis, inflammatory root resorption, replacement resolution and ankylosis and loss of marginal bone support makes selection of the most favorable technique controversial. In this paper, a critical review of the existing treatment modalities is attempted and treatment approaches based on diagnostic parameters that are indicative of the severity of an intrusive injury are presented. Recommendations are made after taking into consideration experimental and clinical study findings and observations from other author's and our own clinical experience. Two cases of intrusive luxation in children are presented and management of the dental injuries as well as the complications which occured are being discussed.