Gupta Megha
Department of Pedodontics and Preventive Dentistry, Vyas Dental College and Hospital, Near Kuri Hod, Pali Road, Jhalamand, Jodhpur 342005, Rajasthan, India.
Saudi Dent J. 2011 Oct;23(4):167-76. doi: 10.1016/j.sdentj.2011.09.003. Epub 2011 Sep 16.
Luxation injuries such as intrusion are commonly seen in the primary dentition. Intrusion drives the tooth deeper into the alveolar socket, which results in damage to the pulp and peridontium. Difficulty in gaining compliance from a very young child and the risk of damaging the permanent tooth germ makes the management of these injuries challenging. Careful clinical and radiographic examination along with regular follow-up is essential. A case of intrusive luxation to the maxillary central incisor in a 3-year-old patient is reported. Spontaneous reeruption was noted 4 months after injury, but the tooth had developed an abscess and external root resorption. Hence, extraction of the tooth was done and an anterior esthetic fixed space maintainer was placed. Traumatic injuries to the primary dentition should not be ignored by the parents or by the dentist. The paper also includes a literature review of intrusive luxation in the primary dentition.
诸如嵌入等脱位性损伤在乳牙列中很常见。嵌入会使牙齿更深地陷入牙槽窝,从而导致牙髓和牙周组织受损。从非常年幼的儿童那里获得配合存在困难,以及损伤恒牙胚的风险,使得这些损伤的处理具有挑战性。仔细的临床和影像学检查以及定期随访至关重要。报告了一例3岁患者上颌中切牙嵌入性脱位的病例。受伤4个月后发现牙齿自发萌出,但牙齿出现了脓肿和牙根外吸收。因此,拔除了该牙齿并放置了一个前牙美观固定间隙保持器。家长或牙医都不应忽视乳牙列的创伤性损伤。本文还包括了乳牙列嵌入性脱位方面的文献综述。