Conservative treatment in adult patient with reimplanted anterior teeth after traumatic avulsion with extensive bone loss: An 8-year follow-up

Abstract

Introduction: Orthodontic treatment in patients with trau-matized teeth is a condition that needs good planning in order to achieve satisfactory results. Objective: To discuss approaches to orthodontic treatment of malocclusions associated with trauma followed by avulsion of anterior teeth, reimplanted after a short period of time. Case report: The treatment started with the distalization of upper posterior teeth, with the aid of mini-implants and slid-ing jigs, followed by the inclusion of anterior teeth in the arch, followed by intrusion of these teeth. Results: With the treatment, improved mobility of the anterior teeth was achieved, with better insertion into bone tissue. The most important factor for satisfactory treatment and a good prognosis for avulsion is the time the tooth remains out-side the socket. Orthodontic treatment in patients with trau-matized teeth is not contraindicated; however, clinical and ra-diographic aspects must be considered. Conclusion: Among the feasible orthodontic treatment op-tions, the conservative approach can be a very favorable treatment alternative.