Multidisciplinary Management of Intrusive Luxation: Four-year Clinical Follow-up
This article aims to describe the multidisciplinary clinical management of an intrusive luxation case. The clinical case reports the management of crown fracture and intrusive luxation of permanent maxillary incisors. The clinical results and subjective outcomes four years after the trauma and after two years of post-treatment follow-up are presented. An 11-year-old female patient sought dental care at the local University after experiencing dental trauma. Crown fracture of tooth 8 and the intrusion and crown fracture of teeth 9 and 10 were clinically diagnosed. The multidisciplinary treatment performed involved: periodontal surgical procedures; orthodontic traction; endodontic treatment; dental bleaching; and esthetic resin composite restorations. After two years of follow-up, the clinical parameters of the restorations were satisfactory, as well as the periodontal and periapical status. Oral health-related quality of life was assessed before and after treatment using the OHIP-Aes instrument, with a significant improvement in quality of life after treatment. The multidisciplinary approach was an effective treatment for this case of intrusive luxation. The dentofacial function and esthetics were recovered and the patient’s quality of life was improved.SUMMARY
(A): Crown fracture in tooth 8, Crown fracture and intrusion in teeth 9 and 10 (frontal view). (B): Occlusal view. (C): Initial radiograph of traumatized teeth.
Appearance after gingivectomy, bonding of the button, and installation of the orthodontic appliance.
Endodontic treatment in teeth 9 and 10, three months after the start of treatment.
(A): Appearance during orthodontic treatment. (B): Evolution of orthodontic treatment. (C): Final aspect after orthodontic treatment. (D): Radiographic aspect of the finished endodontic treatments in tooth 8.
Post-surgical aspect of crown lengthening from teeth 6 to 11 and melanoplasty.
(A): Aspect of the smile after endogenous bleaching in tooth 8 and exogenous bleaching of the maxillary arch. (B): Waxing of the plaster model.
(A): Aspect of the smile after restorations in composite resin of teeth 8, 9, and 10 (front view). (B): Occlusal view.
(A): Smile nine months after treatment, showing characterization and texture. (B): Radiographic appearance nine months after treatment.
(A): Smile two years and three months after treatment, with tooth 8 repair and finishing and polishing of all restorations. (B): Radiographic appearance two years and three months after treatment.
Contributor Notes
Clinical Relevance
A clinical case of intrusive luxation has been satisfactorily treated through a multidisciplinary approach, leading to an improvement in quality of life after treatment.