Poster 4

1. MANAGEMENT OF A TRAUMATIC INJURY OF A MAXILLARY CENTRAL INCISOR: A CASE REPORT
C.C. Markomanolaki1, G.D. Georgopoulou2, N. Karvelas3
1MSc in Orthodontics, Department of Orthodontics, Danube Private University, Krems, Austria
2Postgraduate student, Department of Orthodontics, Danube Private University, Krems , Austria
3Postgraduate student, Department of Orthodontics, Faculty of Dental Medicine, Grigore T Popa University, Iasi, Romania
This case report aims to present the management of a severe
traumatic injury of the maxillary central incisors during an active
orthodontic treatment.
Methods
A 12-years old girl after a severe traumatic injury, the
right central incisor (11) was intruded and rotated, the
left central incisor (21) was with enamel-dentin
fracture along with the fracture of the alveolar
ridge of the lower incisors (41-32), after an accident
with the bicycle.
After the emergency accident, the lower teeth were
bonded with a fixed wire retainer for stabilization, and the
patient was referred to an endodontist specialist. After 1
week from the injury, a bracket was bonded to the central
incisor with the main archwire and a second NiTi for
gradual traction, applying the piggyback technique.
After 1 month, the brackets were repositioned to
a correct place and 0,16 NiTi wire was engaged
at the injured tooth, which was mobile. After 2
months, the central incisor (11) was partially
erupted and after 5 months the central incisor
(11) is at it's normal position.
Results
The central incisors (11,21) don't react to the cold test, but the prognosis looks promising.
Conclusion
Injury to the young permanent incisors should be considered as an emergency treatment. A good prognosis
depends on the multidisciplinary team approach for the proper diagnosis and treatment planning.