Trauma
Allison G. Petty, DMD (she/her/hers)
Pediatric Resident
Rutgers School of Dental Medicine, Newark, NJ
Rutgers University
Harrison, New Jersey, United States
Madhu Mohan, DMD
Rutgers School Of Dental Medicine
Newark, New Jersey, United States
Mary Beth Giacona, DDS
Clinical Assistant Professor
RSDM Pediatric Dentistry
Newark, New Jersey, United States
Richard Rosivack, DMD
Chair, Department of Pediatric Dentistry
RSDM Pediatric Dentistry
Newark, New Jersey, United States
Mary Beth Giacona, DDS
Clinical Assistant Professor
RSDM Pediatric Dentistry
Newark, New Jersey, United States
Dental trauma, especially to the maxillary incisors, is a common occurrence in school-aged children. Permanent tooth avulsion is one of the most difficult types of trauma to manage due to intrinsic and extrinsic factors. Intrinsic factors include PDL viability, ease of replantation, etc., while extrinsic factors include patient cooperation, parental expectations, etc. Appropriate clinical treatment at the time of avulsion is critical for long-term favorable prognosis of these teeth.
This case report describes the management of central incisors that underwent repeated avulsions. It highlights the dental providers’ necessity to adapt and modify guidelines to fit the needs of real- life clinical scenarios. Despite best efforts to manage this case based on guidelines, the teeth became non-restorable, necessitating extractions. Ultimately, a prosthesis was fabricated and delivered to the patient’s and parent’s satisfaction.