Management of Luxation Injury and Associated Impacted Mesiodens: Case Report with 3 Years Follow Up

İngilizce (OpenAlex)

Lateral luxation injuries are characterized by partial or total separation of the periodontal ligament. In immature teeth, revascularization can be occured after the trauma. Mesiodens is the most prevalent type of supernumerary tooth. However, as regards surgical removal of mesiodens, ideal timing of intervention remains to be a controversial issue. This report describes a case of a 8-year-old female who had traumatic injuries at her permanent maxillary incisors. Intraoral examination showed lateral luxation of tooth 21. In addition to the traumatic injury, an impacted conical shaped mesiodens was observed. The tooth 21 was gently pushed back into its original position and a semi-rigid-splint was applied. The patient was monitored about devitalization symptoms. At first year follow-up, surgical procedure was performed for extraction of the mesiodens. At 3th year, the tooth was clinically and radiograpically asymptomatic. In case of lateral luxation assosiated with mesiodens surgical intervention was delayed until the root formation was completed.