Alfarraj Jawza H, Alsaif Faisal, Alsaad Sama A
Pediatric Dentistry Department, King Fahad Medical City, Riyadh, Saudi Arabia.
General Dentist, Private Practice, Riyadh, Saudi Arabia.
Int Med Case Rep J. 2022 Aug 31;15:463-467. doi: 10.2147/IMCRJ.S380096. eCollection 2022.
This article describes the clinical management of delayed eruption of the upper left permanent central incisor of an eight-year-old child with a history of overlooked intrusive trauma to the primary maxillary incisors. Initial conservative management involved simple extraction of the over-retained upper right primary left incisor. At the recall visit, the decision was made to expose permanent incisors surgically aiming to facilitate its eruption. Two years later, the upper right central and lateral incisors have been erupted into the oral cavity, improving patient aesthetics. This case report aims to demonstrate the clinical diagnosis and intervention for delayed eruption of maxillary permanent central incisor as a consequence of an overlooked intrusive trauma in the primary dentition. Additionally, to emphasize the importance of periodic radiographic examination in monitoring the sequence of eruption in mixed dentition.
本文描述了一名8岁儿童左上恒中切牙萌出延迟的临床处理情况,该患儿有上颌乳切牙曾受嵌入性创伤但被忽视的病史。初始保守治疗包括简单拔除过度滞留的右上左乳切牙。在复诊时,决定通过手术暴露恒切牙以促进其萌出。两年后,右上中切牙和侧切牙已萌出至口腔内,改善了患者的美观。本病例报告旨在展示因乳牙列中被忽视的嵌入性创伤导致上颌恒中切牙萌出延迟的临床诊断和干预。此外,强调在混合牙列中定期进行影像学检查以监测萌出顺序的重要性。