COMPREHENSIVE MANAGEMENT OF SEVERE DENTOALVEOLAR TRAUMA FROM CHILDHOOD TO ADALTHOOD: A CASE REPORT
Authors:
Stella Papamikidou1, Dimokritos Papalexopoulos2, Efthymia Florou1, Nadia Theologie-Lygidakis3
Affiliation:
1 Post Graduate Student in Dentoalveolar Surgery
2 Post Graduate Student in Prosthodontics
3 Associate Professor OMFS
1,3 Department of Oral and Maxillofacial Surgery (Head: Prof. C. Perisanidis), Dental School, National and Kapodistrian University, “P. & A. Kyriakou” Paediatric Hospital, Athens, Greece
2 Department of Prosthodontics (Director: Assoc. Prof. S. Kourtis), Dental School, National and Kapodistrian University, Athens, Greece
Doi: 10.54936/haoms242p32
ABSTRACT:
Objectives: Objectives: To present a case of severe dentoalveolar trauma in a pediatric patient, from the urgent initial treatment and teeth reimplantation, to implant rehabilitation in adulthood.
Materials and Methods: Patient’s clinical records were retrieved, data were collected for the urgent treatment of trauma at the hospital, the additional interventions to preserve injured permanent teeth the long-lasting follow-up and the final restoration with implants when teeth were lost, seven years post-injury.
Results: A 14-year-old girl was referred to hospital emergency room, following a severe dentoalveolar trauma caused by fall. The alveolar mandibular ridge had suffered a comminuted fracture, from left to right permanent canine, with avulsion of all incisors and left canine. The injury included a penetrating soft tissue trauma at the level of the chin-labial groove. Treatment, under general anesthesia, included reduction of the fractured alveolar ridge, reimplantation and immobilization of the teeth, via a flexible splint and soft tissue suturing. Post-operative period was uneventful; further interventions included endodontic treatments and regular follow up. Two years after trauma, teeth #41, #42, #43 showed first signs of resorption, which eventually resulted in their extraction seven years after trauma, with bone regeneration at the same time. Fully guided implant placement at #41 and #43 was performed. In radiographic examination prior to second stage implant exposure, root resorption of teeth #31 and #32 was also noticed; their extraction was followed by immediate placement of a third implant. Temporary restorations were used when teeth were lost and additional soft tissue improvement with free gingival graft was performed prior to the final prosthetic restoration.
Conclusions: Severe dentoalveolar trauma in childhood needs immediate treatment and long-lasting follow-up. In cases of secondary teeth loss due to root resorption, dental implants are the indicated solution, in adulthood.
KEY WORDS: dentialveolar trauma, pediatric patients, implantology, bone regeneration
Authors:
Stella Papamikidou1, Dimokritos Papalexopoulos2, Efthymia Florou1, Nadia Theologie-Lygidakis3
Affiliation:
1 Post Graduate Student in Dentoalveolar Surgery
2 Post Graduate Student in Prosthodontics
3 Associate Professor OMFS
1,3 Department of Oral and Maxillofacial Surgery (Head: Prof. C. Perisanidis), Dental School, National and Kapodistrian University, “P. & A. Kyriakou” Paediatric Hospital, Athens, Greece
2 Department of Prosthodontics (Director: Assoc. Prof. S. Kourtis), Dental School, National and Kapodistrian University, Athens, Greece
Doi: 10.54936/haoms242p32
ABSTRACT:
Objectives: Objectives: To present a case of severe dentoalveolar trauma in a pediatric patient, from the urgent initial treatment and teeth reimplantation, to implant rehabilitation in adulthood.
Materials and Methods: Patient’s clinical records were retrieved, data were collected for the urgent treatment of trauma at the hospital, the additional interventions to preserve injured permanent teeth the long-lasting follow-up and the final restoration with implants when teeth were lost, seven years post-injury.
Results: A 14-year-old girl was referred to hospital emergency room, following a severe dentoalveolar trauma caused by fall. The alveolar mandibular ridge had suffered a comminuted fracture, from left to right permanent canine, with avulsion of all incisors and left canine. The injury included a penetrating soft tissue trauma at the level of the chin-labial groove. Treatment, under general anesthesia, included reduction of the fractured alveolar ridge, reimplantation and immobilization of the teeth, via a flexible splint and soft tissue suturing. Post-operative period was uneventful; further interventions included endodontic treatments and regular follow up. Two years after trauma, teeth #41, #42, #43 showed first signs of resorption, which eventually resulted in their extraction seven years after trauma, with bone regeneration at the same time. Fully guided implant placement at #41 and #43 was performed. In radiographic examination prior to second stage implant exposure, root resorption of teeth #31 and #32 was also noticed; their extraction was followed by immediate placement of a third implant. Temporary restorations were used when teeth were lost and additional soft tissue improvement with free gingival graft was performed prior to the final prosthetic restoration.
Conclusions: Severe dentoalveolar trauma in childhood needs immediate treatment and long-lasting follow-up. In cases of secondary teeth loss due to root resorption, dental implants are the indicated solution, in adulthood.
KEY WORDS: dentialveolar trauma, pediatric patients, implantology, bone regeneration