Journal of the Korean Academy of Pediatric Dentistry 2000;27(3):431-437.
Published online August 31, 2000.
TREATMENT OF A PERMANENT INCISOR COMPLETELY INTRUDED BY TRAUMA : A CASE REPORT
 
외상으로 완전 함입된 영구전치의 치험례
현홍근, 김정욱, 한세현, 이상훈
서울대학교 치과대학 소아치과학교실 및 치학연구소
Abstract
Traumatic intrusive luxation, an occurrence common in the primary dentition but one that occurs rarely in the permanent dentition, has a poor prognosis. There have been many treatment approaches such as allowing the tooth to reerupt spontaneously, surgical repositioning and immediate luxation, surgical luxation, and orthodontic repositioning; but all have their own drawbacks. Meanwhile, Turley et al. (1987) have proposed surgical and orthodontic combination therapy to treat intrusion. Surgical and orthodontic combination therapy means to apply the orthodontic traction force immediately after surgical luxation. If ankylosis occurs, orthodontic force may be applied after re-luxation repeatedly. But in cases of complete intrusive luxation, it would be not feasible to bond an orthodontic button or bracket on the tooth directly. Thus, in this case, traction of the tooth was attempted after surgically repositioning it close to the probable original socket site to promote better healing.
Key Words: Orthodontic traction, Surgical repositioning, Surgical luxation, Trauma, Luxation, Intrusion


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