Lateral Luxation of Incisor - A Case Report of Using a New Cone-Beam Computed Tomography Software and Reposition Guideline.

Autor: Soares PBF; Department of Periodontology and Implantology, School of Dentistry, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil., Vilela ABF; Department of Operative Dentistry and Dental Materials, Dental School, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil., Moura CCG; Department of Endodontics, Dental School, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil., Estrela C; Department of Stomatologic Sciences, Universidade Federal de Goiás, Goiânia, GO, Brazil., Bueno MR; Radiological Center of Orofacial Images, Cuiabá, MT, Brazil., Soares CJ; Department of Operative Dentistry and Dental Materials, Dental School, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
Jazyk: angličtina
Zdroj: Brazilian dental journal [Braz Dent J] 2020 Jun; Vol. 31 (3), pp. 337-343. Date of Electronic Publication: 2020 Jul 13.
DOI: 10.1590/0103-6440202003069
Abstrakt: Lateral luxation injuries are one of the most severe periodontal injuries in dental trauma. The correct diagnosis followed by repositioning of the tooth on the right position is fundamental for the periodontal ligament healing. This study reported a clinical case of lateral luxation of maxillary central incisor involving a new cone beam computed tomography (CBCT) software for reconstruction (e-Vol DX) to confirm the lateral luxation after no conclusive dental trauma injury definition by using conventional exam. The lateral luxation injury was digitally reduced by insertion of tooth back to its alveolus, and at the same session, the tooth was stabilized with a rigid splint and further changed to a semi-rigid nylon splint. During the pulpal status monitoring, the pulp was diagnosed necrotic, then the root canal was treated to prevent root resorption. External office-bleaching and restorative procedure was performed. The 4-years follow up and new imaging exam and digital reconstruction confirmed bone healing and no complication. CBCT images analyzed by eVol DX can be used to determine and to guide lateral luxation treatment.
Databáze: MEDLINE
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