Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications
José Espona, Fernando Duran-Sindreu, Miguel Roig, Elena Roig
TL;DR
This case report follows a young patient with dental trauma over 20 years, showing how conservative treatment can delay implants but may still lead to complications.
Contribution
A 20-year follow-up of a dental trauma case with late complications, emphasizing long-term outcomes of conservative management.
Findings
Conservative treatment preserved the teeth for 17 years before complications arose.
Late complications eventually required extraction and implant placement.
Regular follow-up and early intervention are critical for long-term success.
Abstract
The protocolization of dental trauma treatment has significantly improved the prognosis of affected teeth. However, the primary objective in many cases is to buy time, as late complications may compromise the tooth's retention. This case report presents the long-term follow-up of an 18-year-old patient who sustained lateral luxation of Tooth 1.1 and a horizontal fracture of Tooth 2.1 due to trauma. Initial treatment included repositioning and splinting, followed by root canal therapy. Over 17 years, both teeth remained functional, although complications arose later, leading to their eventual extraction and replacement with implants. This case highlights the benefits of maintaining natural teeth in young patients and discusses potential complications with implant placement. The importance of regular follow-up and early intervention in trauma cases is emphasized, as well as the need to…
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Taxonomy
TopicsDental Trauma and Treatments · Dental Radiography and Imaging · Endodontics and Root Canal Treatments