Managing an extrusive luxation secondary to tongue thrust in an immature young permanent tooth. A case report and discussion

Abstract

Traumatic dental injuries for the most part are unanticipated events that require prompt diagnosis and management. Often the scarcity of time and anxious environment created due to injuries confound its management and prognosis. Hence, a planned and organized approach to perform care, inevitably expedite procedures in a timely fashion. However, in different situations generally predispose nonestablishment of contemporary methods for management. Here, we present a case report, in which the management of extrusive injuries was affected by other surrounding factors that presumably decreased the prognosis of the tooth. A less novel method was instituted to manage the case of extrusive luxation affecting an upper anterior tooth in a young adolescent child. Since the extrusion of tooth was confounded by parafunctional habit and a palatal impacted supernumerary tooth, it remains a mystery that the secondary extrusion following traumatic extrusive luxation of the tooth could have been due to erupting forces generated by supernumerary tooth. Hence, preoperative evaluation and its management play a pivotal role in establishing the prognosis of traumatized tooth.

Keywords

• apexification
• supernumerary tooth
• tooth injuries