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VOLUME 15 , ISSUE 1 ( January-June, 2023 ) > List of Articles

CASE REPORT

Direct Composite Build-up of an Ankylosed, Discolored, and Infraoccluded Upper Lateral Incisor: An Esthetic Management Case Report

Pantelis Kouros, Georgia Vourtsa, Nikolaos Topouzelis, Aristidis Arhakis

Keywords : Ankylosis, Avulsion, Case report, Infraocclusion, Esthetic management

Citation Information : Kouros P, Vourtsa G, Topouzelis N, Arhakis A. Direct Composite Build-up of an Ankylosed, Discolored, and Infraoccluded Upper Lateral Incisor: An Esthetic Management Case Report. CODS J Dent 2023; 15 (1):16-20.

DOI: 10.5005/jp-journals-10063-0144

License: CC BY-NC 4.0

Published Online: 25-04-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: This case report aims to illustrate the management of an avulsed maxillary lateral incisor in a young orthodontic patient, highlighting the interim esthetic solution employed before implant rehabilitation. Background: Traumatic dental injuries, especially avulsion of permanent teeth, are common in children and adolescents and can pose challenges for treatment, particularly in patients undergoing orthodontic therapy. This case study explores the management of an avulsed maxillary lateral incisor in an 11-year-old female patient undergoing orthodontic treatment, emphasizing the complexities of trauma in orthodontic patients and the subsequent need for esthetic rehabilitation. Case description: Following an accident, the patient experienced avulsion of the upper left lateral incisor, which remained extraoral for 2.5 hours before repositioning. Concurrently, the patient was undergoing orthodontic treatment using a mobile device. Due to trauma, the tooth required endodontic treatment and was excluded from orthodontic intervention. By age 15, post-orthodontic treatment, the infraoccluded and ankylosed tooth showed no clinical or radiographic symptoms. The patient requested an esthetic solution while awaiting planned implant rehabilitation at age 18. Conclusion: The employed approach involving tooth contouring, flap repositioning, resin composite restoration, and color matching techniques provided a satisfactory esthetic outcome. This interim solution addressed the patient's aesthetic concerns while preparing for definitive implant rehabilitation. Clinical significance: This case underscores the importance of interdisciplinary collaboration and patient-centered care in managing traumatic dental injuries in orthodontic patients. It emphasizes the need for comprehensive treatment planning and esthetic interim solutions to enhance patient satisfaction during the waiting period for definitive treatment.


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