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Article: Volume 48 Number 1 Page 42 - January 2021

  Dent Update 2021; 48: 42-46  Read article

Paediatric dentistry:  Management of anterior crossbite due to splinting for dental trauma: a case report with 4-year follow-up

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Abstract: This report describes the sequelae and subsequent management of a 7-year-old boy who failed to attend follow-up visits after a dental trauma and was initially managed with an active splint. The splint was maintained for 9 months, resulting in an anterior cross-bite, caused by retroclination of the upper incisors. The splint was removed and occlusal build-ups were placed on the molars. Nine months later, the form and shape of the upper dental arch were re-established and the cross-bite was corrected. Four years after the dental trauma, the injured teeth were asymptomatic and had continued root development.

Clinical relevance: Splints for dental trauma management should be passive and removed at the requisite time, to avoid the risk of the splint generating a malocclusion.

Author notes: Camila Corral Nuñez, BDS, MClinDent, PhD, Child and Adult Dental Traumatology Clinic, Department of Restorative Dentistry, Faculty of Dentistry, Universidad de Chile, Santiago, Chile. Andrea Veliz Ramirez, DS, Paediatric Dentistry Specialist, Child and Adult Dental Traumatology Clinic, Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de Chile, Santiago, Chile. Sigrid Schade, BDS, Paediatric Dentistry Specialist, Child and Adult Dental Traumatology Clinic, Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de Chile, Santiago, Chile. Cristian Navarrete, BDS, Orthodontics Specialist, Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de Chile, Santiago, Chile. Hans von Müllenbrock, BDS, Orthodontics Specialist, Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de Chile, Santiago, Chile. Braulio Catalan Gamonal, BDS, Child and Adult Dental Traumatology Clinic, Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de Chile, Santiago, Chile. Aws Alani, BDS, MFDS, MSc, FDS, RCS LLM, Consultant in Restorative Dentistry, Department of Restorative Dentistry, King’s College Hospital, London, UK email: camila.corral@odontologia.uchile.cl

Objective: The reader should understand the clinical implications of an active splint in dental trauma management.

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