Bone Augmentation in Extrusive Teeth Repositioned Using Bone Grafts
10.21315/aos2021.16.s1.13
- Author:
Charissa Roderica Hoediono
1
;
Ghita Hadi Hollanda
1
Author Information
1. Nala Husada Dental Hospital, Universitas Hang Tuah Surabaya, Kota Surabaya, Jawa Timur 60117, Indonesia
- Publication Type:Case Reports
- Keywords:
Bone augmentation;
Bone grafts;
Self-curing adhesive resin cement;
Super-Bond;
Tooth reposition
- MeSH:
Tooth Avulsion
- From:Archives of Orofacial Sciences
2021;16(SUPP 1):83-90
- CountryMalaysia
- Language:English
-
Abstract:
ABSTRACT:Extrusive luxation is a traumatic dental injury (TDI) due to the action of forces, especially in the oblique
angle. Partial displacement of the tooth is one of its characteristics. Repositioning is the treatment of
choice for this type of trauma. The mechanism of bone augmentation and splint in managing the post
extrusive luxation teeth reposition was explored and reported. An 18-year-old male with a history
of traffic accident which caused extrusive luxation of 11 and 21 with no alveolar bone fracture. The
patient was managed by repositioning the teeth and applicating arch-bar on anterior maxillary teeth.
After eight weeks of evaluation, periapical radiograph showed the distal bone of 21 had radiolucent
appearance followed by Class 1 mobility. The arch-bar was removed, and the periosteal flap was made
on the buccal side of 21 and the distal part was curetted then irrigated with 0.9% sodium chloride,
then supplemented with bone graft material and pericardium membrane. Lastly, the flap was returned,
the tooth was then stabilised using self-curing adhesive resin cement (Super-Bond). The tooth was
kept under observation for two months. It was observed that the tooth was asymptomatic and still in
function with no radiographic signs of pathosis. These results suggested that tooth reposition might be
an alternative to prosthetic or implant dentistry. However, further human research is recommended with
long standing follow-up periods and comparative studies to be carried out to identify whether dental
implant replacement or reposition is the cost-effective treatment for extruded tooth.
- Full text:2.2021my0037.pdf
