Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions

Background. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the t...

Full description

Saved in:
Bibliographic Details
Main Authors: Anita Thakur, Seema Thakur
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2021/2373785
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560641501560832
author Anita Thakur
Seema Thakur
author_facet Anita Thakur
Seema Thakur
author_sort Anita Thakur
collection DOAJ
description Background. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the treatment of trauma to anterior teeth; however, case reports comprising multiple avulsions including canines and premolars are rare in literature. Method. After mouth rinsing was done with 2% betadine solution, the luxated teeth numbers 31 and 42 were repositioned into the tooth socket and were secured with the composite resin-wire splint. Tooth number 32 was extracted because it was disarticulated from the socket, and the socket was disrupted because of the alveolar fracture. The maxillary avulsed teeth could not be reimplanted because of the alveolar socket damage which was due to the alveolar bone fracture. Results. The patient was reevaluated for the removable prosthesis in recall visits; the patient was well adapted to the appliance with no complaints regarding mastication and speech. The patient was advised to report periodically for further adjustments in the prosthesis and for radiographic evaluation. Conclusions. This case report includes proper history taking, diagnosis, and treatment of a complex dentoalveolar trauma along with short-term prosthetic rehabilitation for improvement of aesthetics, phonetics, and mastication of growing child.
format Article
id doaj-art-02277a1ce9bc44d799720ec40f8dd458
institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-02277a1ce9bc44d799720ec40f8dd4582025-02-03T01:26:59ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/23737852373785Management of a Complex Dentoalveolar Traumatic Injury with Multiple AvulsionsAnita Thakur0Seema Thakur1Department of Pediatric and Preventive Dentistry, H.P Government Dental College and Hospital Shimla, Himachal Pradesh, IndiaDepartment of Pediatric and Preventive Dentistry, H.P Government Dental College and Hospital Shimla, Himachal Pradesh, IndiaBackground. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the treatment of trauma to anterior teeth; however, case reports comprising multiple avulsions including canines and premolars are rare in literature. Method. After mouth rinsing was done with 2% betadine solution, the luxated teeth numbers 31 and 42 were repositioned into the tooth socket and were secured with the composite resin-wire splint. Tooth number 32 was extracted because it was disarticulated from the socket, and the socket was disrupted because of the alveolar fracture. The maxillary avulsed teeth could not be reimplanted because of the alveolar socket damage which was due to the alveolar bone fracture. Results. The patient was reevaluated for the removable prosthesis in recall visits; the patient was well adapted to the appliance with no complaints regarding mastication and speech. The patient was advised to report periodically for further adjustments in the prosthesis and for radiographic evaluation. Conclusions. This case report includes proper history taking, diagnosis, and treatment of a complex dentoalveolar trauma along with short-term prosthetic rehabilitation for improvement of aesthetics, phonetics, and mastication of growing child.http://dx.doi.org/10.1155/2021/2373785
spellingShingle Anita Thakur
Seema Thakur
Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions
Case Reports in Dentistry
title Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions
title_full Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions
title_fullStr Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions
title_full_unstemmed Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions
title_short Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions
title_sort management of a complex dentoalveolar traumatic injury with multiple avulsions
url http://dx.doi.org/10.1155/2021/2373785
work_keys_str_mv AT anitathakur managementofacomplexdentoalveolartraumaticinjurywithmultipleavulsions
AT seemathakur managementofacomplexdentoalveolartraumaticinjurywithmultipleavulsions