Merkle A
Pediatr Dent. 2000 Mar-Apr;22(2):151-2.
This clinical article presents a rare presentation of complete intrusion of a maxillary right primary central incisor. Routine examination of a 29-month old female patient revealed an intrusion injury where the primary central incisor was displaced through the floor of the nasal cavity. The traumatic impaction was erroneously diagnosed as an avulsion injury by the attending emergency room physician and later discovered by the dental team during routine care. The injury was documented with radiographs. The intruded incisor was removed through the right naris utilizing general anesthesia to manage behavior and surgical access. This article emphasizes the importance of radiographs and demonstrates the need to involve the dental professional in initial assessment of dental trauma.
这篇临床文章介绍了上颌右侧乳中切牙完全嵌入的罕见病例。对一名29个月大的女性患者进行常规检查时发现了嵌入性损伤，即乳中切牙通过鼻腔底部移位。急诊室主治医生将这种创伤性嵌入错误地诊断为牙脱位损伤，后来牙科团队在常规护理中发现了这一情况。通过X光片记录了损伤情况。利用全身麻醉来控制患儿行为并获得手术入路，通过右侧鼻孔取出了嵌入的切牙。本文强调了X光片的重要性，并表明在牙外伤的初始评估中需要牙科专业人员参与。
