Intrusive luxation in primary dentition: clinical report

Intrusive dislocation is the most frequent type of traumatic injury in the primary dentition, characterized by displacement of the tooth into the alveolus. Intrusions require a thorough physical examination, radiographs of diagnostic value, and follow-up of the case, since the prognosis is unfavora...

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Main Authors: Mariella Padovese, Paola Singi, Bárbara Maria Morais da Mota, Lucas Fernando Oliveira Tomáz Ferraresso, Mariana Emi Nagata, Cássia Cilene Dezan Garbelini, Farli Aparecida Carrilho Boer, Mayra Frasson Paiva
Format: Article
Language:Spanish
Published: Asociación Latinoamericana de Odontopediatría 2024-03-01
Series:Revista de Odontopediatria Latinoamericana
Subjects:
Online Access:https://revistaodontopediatria.org/index.php/alop/article/view/634
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author Mariella Padovese
Paola Singi
Bárbara Maria Morais da Mota
Lucas Fernando Oliveira Tomáz Ferraresso
Mariana Emi Nagata
Cássia Cilene Dezan Garbelini
Farli Aparecida Carrilho Boer
Mayra Frasson Paiva
author_facet Mariella Padovese
Paola Singi
Bárbara Maria Morais da Mota
Lucas Fernando Oliveira Tomáz Ferraresso
Mariana Emi Nagata
Cássia Cilene Dezan Garbelini
Farli Aparecida Carrilho Boer
Mayra Frasson Paiva
author_sort Mariella Padovese
collection DOAJ
description Intrusive dislocation is the most frequent type of traumatic injury in the primary dentition, characterized by displacement of the tooth into the alveolus. Intrusions require a thorough physical examination, radiographs of diagnostic value, and follow-up of the case, since the prognosis is unfavorable, mainly due to the probability of damage to the permanent tooth germ. This work aims to report a clinical case of intrusive dislocation in the primary dentition, from diagnosis to follow-up. This is a male patient, 3 years old, who attended the Emergency of the Children’s Specialty Clinic – State University of Londrina (UEL) due to dento-alveolar trauma in the antero-superior region that occurred three days ago. On clinical examination, tooth 61 had grade II intrusion (one-third of the crown visible), and tooth 62 had grade I intrusion, with more than one-third of the crown visible. Radiographically, a buccal inclination was observed, with no fracture of the bone plate. Thus, we opted for conservative treatment, waiting for the spontaneous re-eruption of the teeth involved. Furthermore, parents were informed about the possible consequences of this type of trauma and the need for clinical and radiographic follow-up consultations. After eight months of follow-up, the teeth erupted satisfactorily. It is extremely important to establish a protocol for observation and control of the traumatized tooth, observing signs and symptoms of the tissues involved in the trauma to reduce sequelae in both dentitions.
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spelling doaj.art-0903eb0590c14205926371c9e29b4c792024-04-03T03:13:04ZspaAsociación Latinoamericana de OdontopediatríaRevista de Odontopediatria Latinoamericana2174-07982024-03-011410.47990/rrq96987Intrusive luxation in primary dentition: clinical reportMariella Padovese0https://orcid.org/0000-0001-6549-293XPaola Singi1https://orcid.org/0000-0003-3177-356XBárbara Maria Morais da Mota2https://orcid.org/0009-0001-8067-355XLucas Fernando Oliveira Tomáz Ferraresso3https://orcid.org/0000-0002-2225-9262Mariana Emi Nagata4https://orcid.org/0000-0003-3754-4303Cássia Cilene Dezan Garbelini5https://orcid.org/0000-0002-8660-0677Farli Aparecida Carrilho Boer6https://orcid.org/0000-0003-1911-8247Mayra Frasson Paiva7https://orcid.org/0000-0002-4677-1420Departamento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil.Departamento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil.Departamento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil. Clínica de Especialidades infantiles/ Bebê Clínica de la Universidad Estadual de LondrinaDepartamento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil.Departamento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil.Departamento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil.Departamento de Medicina Oral e Odontologia Infantil, Universidade Estadual de Londrina (UEL), Londrina, PR, Brasil. Intrusive dislocation is the most frequent type of traumatic injury in the primary dentition, characterized by displacement of the tooth into the alveolus. Intrusions require a thorough physical examination, radiographs of diagnostic value, and follow-up of the case, since the prognosis is unfavorable, mainly due to the probability of damage to the permanent tooth germ. This work aims to report a clinical case of intrusive dislocation in the primary dentition, from diagnosis to follow-up. This is a male patient, 3 years old, who attended the Emergency of the Children’s Specialty Clinic – State University of Londrina (UEL) due to dento-alveolar trauma in the antero-superior region that occurred three days ago. On clinical examination, tooth 61 had grade II intrusion (one-third of the crown visible), and tooth 62 had grade I intrusion, with more than one-third of the crown visible. Radiographically, a buccal inclination was observed, with no fracture of the bone plate. Thus, we opted for conservative treatment, waiting for the spontaneous re-eruption of the teeth involved. Furthermore, parents were informed about the possible consequences of this type of trauma and the need for clinical and radiographic follow-up consultations. After eight months of follow-up, the teeth erupted satisfactorily. It is extremely important to establish a protocol for observation and control of the traumatized tooth, observing signs and symptoms of the tissues involved in the trauma to reduce sequelae in both dentitions. https://revistaodontopediatria.org/index.php/alop/article/view/634deciduous toothtooth injuries Pediatric dentistry
spellingShingle Mariella Padovese
Paola Singi
Bárbara Maria Morais da Mota
Lucas Fernando Oliveira Tomáz Ferraresso
Mariana Emi Nagata
Cássia Cilene Dezan Garbelini
Farli Aparecida Carrilho Boer
Mayra Frasson Paiva
Intrusive luxation in primary dentition: clinical report
Revista de Odontopediatria Latinoamericana
deciduous tooth
tooth injuries
Pediatric dentistry
title Intrusive luxation in primary dentition: clinical report
title_full Intrusive luxation in primary dentition: clinical report
title_fullStr Intrusive luxation in primary dentition: clinical report
title_full_unstemmed Intrusive luxation in primary dentition: clinical report
title_short Intrusive luxation in primary dentition: clinical report
title_sort intrusive luxation in primary dentition clinical report
topic deciduous tooth
tooth injuries
Pediatric dentistry
url https://revistaodontopediatria.org/index.php/alop/article/view/634
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