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Conservative Management Of An Intruded Immature Maxillary Permanent Central Incisor With Healing Complication Of Pulp Bone
Author(s) -
Roberts Jemima,
Olsen Christopher,
Messer Harold
Publication year - 2001
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/j.1747-4477.2001.tb00449.x
Subject(s) - periodontal fiber , medicine , pulp necrosis , dentistry , pulp (tooth) , maxillary central incisor , permanent teeth , root canal , intrusion , maxillary lateral incisor , incisor , geochemistry , geology
Traumatic intrusion injury of permanent teeth is serious with multiple complications possible associated with the pulp, periodontal ligament, alveolar bone and Hertwig's epithelial root sheath. The optimal treatment for the management of an intrusion injury has not yet been determined. A case is presented involving the conservative management of an immature maxillary permanent central incisor intrusively luxated by allowing for re‐eruption and orthodontic extrusion two weeks later. After a follow‐up period of ten months, the intruded tooth continued to show a mobility of grade one, without metallic percussion tone or infra‐occlusion, which confirmed periodontal ligament healing. Although the intruded tooth failed to respond to dry ice testing, no other signs of pulp necrosis were evident and the colour of the intruded tooth was within normal limits throughout the follow‐up period. However, complications of healing of Hertwig's epithelial root sheath occurred, causing in‐growth of bone and periodontal ligament into the root canal.