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Alexander Patera Nugraha
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Fakultas Kedokteran Gigi, Universitas Airlangga Kampus A, jl. Prof. Dr. Moestopo No. 47 - 60132, East Java, Indonesia
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INDONESIA
Indonesian Journal of Dental Medicine
Published by Universitas Airlangga
ISSN : -     EISSN : 27221253     DOI : 10.20473/ijdm.v3i1.2020.1-3
Core Subject : Health,
Dentistry
Indonesian Journal of Dental Medicine accepts original manuscripts in the many fields of dentistry, including research reports and literature reviews. The spread of fields include: Oral epidemiology, Oral health services research, Preventive dentistry, Oral health education and promotion, Clinical research, Behavioural sciences related to dentistry, Ethics and oral health economics, Healthcare management, Pediatric dentistry, Periodontic dentistry, Oral & maxillofacial surgery, Oral biology, Forensic dentistry, Prosthodontic dentistry, Dental radiology and many more
Arjuna Subject : Kedokteran Gigi - Kedokteran Gigi (Lain-Lain)
Articles 131 Documents
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Repositioning and Fixation of an Intruded Immature Permanent Tooth in a Pediatric Dental Trauma Case Nelwan, Sindy Cornelia; Putri, Sofia Tandya; Prima, Nuryati; Ramakrishnan, Krishna Kumar
Indonesian Journal of Dental Medicine Vol. 8 No. 2 (2025): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v8i2.2025.81-85

Abstract

Background: Intrusive luxation is one of the most severe types of dental trauma, especially in children with immature permanent teeth. Immediate and appropriate management is crucial to preserve pulp vitality and ensure proper root development. Purpose: This case report aims to present the management of an intruded immature permanent maxillary incisor in a pediatric patient through surgical repositioning and flexible splinting. Case: An 8-year-old boy presented three days after a football-related fall with a 6 mm intrusion of the permanent maxillary right central incisor. The tooth showed no mobility, and no root fracture was detected radiographically, although the periodontal space was reduced. Case Management: Due to the severity of the intrusion, immediate surgical repositioning under local anesthesia was performed. The tooth was carefully luxated and repositioned, followed by splinting using brackets and ligature wire from tooth #54 to #63 for three weeks. Antibiotics, analgesics, and antiseptic mouth rinse were prescribed. The tooth was kept out of occlusion, and pulp testing at three weeks indicated vitality. The splint was removed without complications, and a five-month follow-up confirmed stable teeth, an asymptomatic condition, and ongoing root and periodontal healing. Conclusion: Early surgical repositioning combined with flexible splinting can yield favorable outcomes in managing intrusive luxation in immature permanent teeth. Timely intervention and continuous follow-up are essential to preserve pulp vitality, support root development, and prevent complications such as resorption and ankylosis.

Page 14 of 14 | Total Record : 131

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