Arikan Volkan, Sari Saziye
Ankara University, Faculty of Dentistry, Department of Pedodontics, Ankara, Turkey.
Eur J Dent. 2011 Jan;5(1):117-20.
This case report describes the repositioning of a laterally luxated primary central incisor with occlusal interference, using a composite inclined plane. The patient was a 4-year-old girl who applied to our clinic three days after the injury. Because of the time delay between injury and presentation, it was not possible to reposition the tooth with pressure. Following a root-canal treatment, an inclined plane was prepared on the lower primary incisors, using composite resin. The tooth was repositioned in two weeks, and the inclined plane was then removed. After 1 year of follow-up, the treatment was found to be successful, both clinically and radiographically. The use of a composite inclined plane, accompanied by careful follow-up, is an effective alternative to extraction for laterally luxated primary incisors with occlusal interference.
本病例报告描述了使用复合斜面矫治器对伴有咬合干扰的侧向脱位的乳中切牙进行复位的情况。患者为一名4岁女童,受伤三天后前来我院就诊。由于受伤与就诊之间存在时间延迟,无法通过加压复位牙齿。在进行根管治疗后,使用复合树脂在下方乳切牙上制备了一个斜面矫治器。两周后牙齿复位,随后拆除斜面矫治器。经过1年的随访,发现治疗在临床和影像学上均取得成功。对于伴有咬合干扰的侧向脱位的乳中切牙,使用复合斜面矫治器并进行仔细随访是拔牙的有效替代方法。