Conservative treatment in adult patient with reimplanted anterior teeth after traumatic avulsion with extensive bone loss: an 8-year follow-up

ABSTRACT

Introduction:

Orthodontic treatment in patients with traumatized teeth is a condition that needs good planning in order to achieve satisfactory results.

Objective:

To discuss approaches to orthodontic treatment of malocclusions associated with trauma followed by avulsion of anterior teeth, reimplanted after a short period of time.

Case report:

The treatment started with the distalization of upper posterior teeth, with the aid of mini-implants and sliding jigs, followed by the inclusion of anterior teeth in the arch, followed by intrusion of these teeth.

Results:

With the treatment, improved mobility of the anterior teeth was achieved, with better insertion into bone tissue. The most important factor for satisfactory treatment and a good prognosis for avulsion is the time the tooth remains outside the socket. Orthodontic treatment in patients with traumatized teeth is not contraindicated; however, clinical and radiographic aspects must be considered.

Conclusion:

Among the feasible orthodontic treatment options, the conservative approach can be a very favorable treatment alternative.

Keywords:
Conservative treatment; Tooth injuries; Periodontal diseases; Orthodontic anchorage procedures; Adult