Decisions on repositioning of intruded permanent incisors; A review and case presentation

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dc.contributor.authorHurley, Eimear
dc.contributor.authorStewart, Christopher J.
dc.contributor.authorGallagher, Christine
dc.contributor.authorKinirons, Martin J.
dc.date.accessioned2020-04-02T09:16:38Z
dc.date.available2020-04-02T09:16:38Z
dc.date.issued2018
dc.date.updated2020-04-02T09:13:39Z
dc.description.abstractBackground: Traumatic intrusion is a luxation type of injury where the tooth is displaced along the axis of the tooth, into the alveolus. This injury is regarded as serious because of the tissue damage that it causes. The traumatic movement is associated with severe damage to the periodontal ligament, pulpal tissue, root and alveolar socket. Despite its severity, the rare occurrence of this injury in permanent teeth has resulted in limited studies of immature and mature permanent incisors. The purpose of this paper is to review this luxation injury of permanent immature incisors, and to describe its diagnosis, treatment and management. In particular, we describe the repositioning strategies used in cases of intrusion injury. These include (i) monitoring spontaneous re-eruption, (ii) active orthodontic repositioning and (iii) surgical repositioning. Firstly, monitoring spontaneous re-eruption is observing and waiting for the intruded tooth to return to its original position. This process is not a normal developmental eruption and the outcome is not always predictable, nor is the time needed for this to happen. Secondly, active orthodontic repositioning is used to describe the process of rapidly moving the intruded tooth to its original position with the aid of an orthodontic appliance. Active orthodontic repositioning is often misunderstood as normal orthodontic movement. Orthodontic movement allows for periodontal ligament remodelling, using light intermittent forces. In contrast the active orthodontic repositioning used to move intruded incisors is rapid, and the primary aim is to achieve correct tooth position as rapidly as possible. Thirdly, surgical repositioning uses surgical intervention to bring the tooth back to its original position. A case of an intruded immature permanent incisor is presented, with a particular emphasis on these critical decisions on repositioning and showing the use of the three modalities of treatment in sequence, in order to achieve an outcome.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHurley, E., Stewart, C. J., Gallagher, C. and Kinirons, M. J. (2018) 'Decisions on repositioning of intruded permanent incisors; A review and case presentation'. European Journal of Paediatric Dentistry, 19 (2):101-104. doi: 10.23804/ejpd.2018.19.02.03en
dc.identifier.doi10.23804/ejpd.2018.19.02.03en
dc.identifier.endpage104en
dc.identifier.issn1591-996X
dc.identifier.issued2en
dc.identifier.journaltitleEuropean Journal of Paediatric Dentistryen
dc.identifier.startpage101en
dc.identifier.urihttps://hdl.handle.net/10468/9807
dc.identifier.volume19en
dc.language.isoenen
dc.publisherEuropean Journal of Paediatric Dentistryen
dc.relation.urihttp://ejpd.eu/EJPD_2018_2_2.pdf
dc.rights© 2018, European Journal of Paediatric Dentistry.en
dc.subjectActive orthodontic repositioningen
dc.subjectDental traumaen
dc.subjectImmature permanent incisoren
dc.subjectIntrusionen
dc.subjectMonitoring spontaneous reeruptionen
dc.subjectSurgical repositioningen
dc.titleDecisions on repositioning of intruded permanent incisors; A review and case presentationen
dc.typeArticle (peer-reviewed)en
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