Article: Volume 45 Number 5 Page 427 - May 2018

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  Dent Update 2018; 45: 427-433

Orthodontics /Paediatric Dentistry:  A Guide to the Orthodontic Extrusion of Traumatized Permanent Incisors in the Mixed Dentition

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Abstract: Extrusion of intruded maxillary incisors present the clinician with a great challenge, particularly in the mixed dentition. Several methods have been suggested to treat an intruded maxillary incisor, but currently there is no definitive guideline on which method is most successful. The treatment mode selected should be based on the individual clinical situation and the best evidence available. The aim of this paper is to provide a guide for the orthodontic extrusion of maxillary incisors following intrusive luxation in the mixed dentition. Consideration will be given to the immediate and long term treatment options for these patients. Success rates and possible complications will also be outlined.

Clinical relevance: The purpose of this article is to provide general dental practitioners with information in relation to the management of intrusive luxations of permanent incisors.

Author notes: Orla Carty, BaBDentSc(Hons), MFD(RCSI), PgDip ClinEd, Orthodontic Registrar, Liverpool University Dental Hospital, Pembroke Place, Liverpool L3 5PS, Joe Hennessy, BaBDentSc, MFD(RCSI), DClinDent(TCD), MOrth(RCSEd), FFD(RCSI), Specialist Orthodontist, Dundrum Orthodontics, 11 The Gables, Ballinteer Road, Dundrum, Dublin 16; St James Hospital Orthodontic Unit, St James Hospital, James Road, Dublin 2 and Ebrahim A Al-Awadhi, BaBDentSc, MSc, PhD, MFD(RCSI), MOrth(RCS Eng), FFD(RCSI), Orthodontic Consultant, Dublin Dental University Hospital, Lincoln Place, Dublin 2, Ireland.

Objective: To understand the appropriate immediate management of intrusive trauma presenting to dental practice. Enhanced CPD DO C