A Case Report of Dilacerated Crown of a Permanent Mandibular Central Incisor
Abstract
Trauma to primary teeth can lead to devastating sequels in development of permanent successors. The disturbance may range from enamel hypoplasia and/or hypo-calcification to arrest of dental bud development. Crown dilaceration of permanent teeth is one of the consequences of trauma to deciduous teeth mainly due to intrusion or avulsion. This report presents a mandibular central incisor with dilacerated crown and yellowish discoloration with symptomatic apical abscess. History revealed avulsion of primary mandibular central incisors. The purpose of this report is to present: 1. Reasons of dilacerated crown, yellowish discoloration and necrotic pulp in this case, 2. Treatment options in different types of crown dilacerations and also in this case. The tooth was successfully managed by nonsurgical root canal therapy and restoration with composite resin to restore esthetics. We emphasize that trauma to deciduous teeth should not be understated, and regular follow up is essential.
- de Amorim Lde F, Estrela C, da Costa LR. Effects of traumatic dental injuries to primary teeth on permanent teeth a clinical follow-up study. Dent Traumatol. 2011 Apr;27(2):117-21.
- Altun C, Cehreli ZC, Güven G, Acikel C. Traumatic intrusion of primary teeth and its effects on the permanent successors: a clinical follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Apr;107(4):493-8.
- Wankhade AD, Pandey RK, Singh RK, Naphade MV. An endoaesthetic management of crown dilacerations in a permanent mandibular central incisor. BMJ Case Rep. 2013 Feb;2013.
- Tsurumachi T, Hirano Y, Hira A, Aida Y, Ogiso B. Developmental disturbance of a mandibular central incisor following trauma to the primary predecessor. J Oral Sci. 2015 Jun;57(2):157-60.
- Topouzelis N, Tsaousoglou P, Pisoka V, Zouloumis L. Dilaceration of maxillary central incisor: a literature review. Dent Traumatol. 2010 Oct;26(5):427-33.
- Muthumani T, Rajasekaran M, Veerabahu M, Indra R. Interdisciplinary management of impacted maxillary central incisor with dilacerated crown. J Endod. 2011 Feb;37(2):269-71.
- Ozer SY. Dilaceration of mandibular central incisor: a case report. Saudi Endod J. 2011 Oct;1(1): 44-9.
- Lenzi MM, Alexandria AK, Ferreira DM, Maia LC. Does trauma in the primary dentition cause sequelae in permanent successors? A systematic review. Dent Traumatol. 2015 Apr;31(2):79-88.
- von Gool AV. Injury to the permanent tooth germ after trauma to the deciduous predecessor. Oral SurgOral Med Oral Pathol. 1973 Jan;35(1):2-12.
- Altun C, Esenlik E, Tözüm TF. Hypoplasia of a permanent incisor produced by primary incisor intrusion: a case report. J Can Dent Assoc. 2009 Apr;75(3):215-8.
- Katz-Sagi H, Moskovitz M, Moshonov J, Holan G. Pulp canal obliteration in an unerupted permanent incisor following trauma to its primary predecessor: a case report. Dent Traumatol. 2004 Jun;20(3):181-3.
- Bassiouny MA, Giannini P, Deem L. Permanent incisors traumatized through predecessors: sequelae and possible management. J Clin Pediatr Dent. 2003 Spring;27(3):223-8.
- Nasry HA, Barclay SC. Periodontal lesions associated with deep traumatic overbite. Br Dent J. 2006 May 27;200(10):557-61.
- Yaşa B, Arslan H. Nonsurgical management of a large periapical lesion in the anterior mandibular region of a patient with a deep traumatic overbite: A 3 year follow up. J Res Dent. 2014 Jan-Apr;2(1):51-3.
- Maragakis MG. Crown dilacerations of permanent incisors following trauma to their primary predecessors. J Clin Pediatr Dent. 1995 Fall;20(1):49-52.
- Andreasen JO, Sundström B, Ravn JJ. The effect of traumatic injuries to primary teeth on their permanent successors. I. A clinical and histologic study of 117 injured permanent teeth. Scand J Dent Res. 1971;79(4):219-83.
- Calişkan MK, Tekin U. Surgical extrusion of a partially erupted and crown dilacerated incisor. Dent raumatol.2008Apr;24(2):228-30.
- Hargreaves KM, Cohen S. Cohen’s pathways of the pulp. St. Louis, Mosby, Elsevier, 2011:166-9.
Files | ||
Issue | Vol 13, No 6 (2016) | |
Section | Case Report | |
Keywords | ||
Tooth Deciduous Tooth Avulsion Tooth Abnormalities |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |