| The treatment of traumatized permanent anterior teeth: case report & literature review. Part I--Management of intruded incisors. | |
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MedLine Citation:
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PMID: 8975659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A case is reported in which an intruded incisor was initially treated by an endodontic dressing with calcium hydroxide and then extruded using a removable orthodontic appliance. A follow-up examination seven years after completion of endodontic therapy and bleaching showed a favourable response. A review of the relevant literature indicates that intrusion occurs in five to twelve per cent of luxation cases. In this type of injury maximum damage occurs to the pulp and all supporting structures because the tooth is driven into the alveolar process. Complications which have been reported include: pulp necrosis, apical radiolucencies, partial or total pulp calcification, root resorption (surface, inflammatory or replacement), marginal periodontal bone breakdown, and arrested or disturbed root development. The prognosis for pulp survival after intrusion is much more favourable for teeth with incomplete root formation than for teeth with complete root formation. Treatment options available to bring an intruded tooth into alignment are: to await spontaneous re-eruption which may occur if root formation is incomplete, uncovering of the intruded crown, orthodontic extrusion which is allied with gentle luxation if the tooth does not move, and immediate surgical repositioning. |
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Authors:
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S G Jacobs |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Australian orthodontic journal Volume: 13 ISSN: 0587-3908 ISO Abbreviation: Aust Orthod J Publication Date: 1995 Mar |
Date Detail:
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Created Date: 1996-12-30 Completed Date: 1996-12-30 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 1260462 Medline TA: Aust Orthod J Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 213-8 Citation Subset: D |
Affiliation:
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Orthodontic Department, Royal Dental Hospital of Melbourne, Victoria, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Animals Calcium Hydroxide Dental Pulp Necrosis / etiology, therapy Dentition, Permanent Dogs Humans Incisor / injuries* Male Orthodontic Appliances, Removable Root Canal Therapy Root Resorption / etiology Tooth Eruption Tooth Fractures / complications Tooth Injuries / complications, therapy Tooth Movement / methods* |
| Chemical | |
Reg. No./Substance:
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1305-62-0/Calcium Hydroxide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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