Rehabilitation of a lost immature permanent central incisor due to avulsion injury with a modified essix retainer: A case report

Elif Bilgin; Emin Caner Tumen

doi:10.5281/zenodo.14567710

Authors

Elif Bilgin Dicle University Faculty of Dentistry, Department of Pediatric Dentistry, Diyarbakir, Turkey https://orcid.org/0009-0007-0657-0521
Emin Caner Tumen Dicle University Faculty of Dentistry, Department of Pediatric Dentistry, Diyarbakır, Turkey https://orcid.org/0000-0002-0905-1096

DOI:

https://doi.org/10.5281/zenodo.14567710

Keywords:

Avulsion, dental trauma, modified essix retainer, permanent dentition

Abstract

The type of injury in which a tooth is completely displaced from its alveolar socket following trauma is called avulsion. Traumatic injuries to permanent incisors are quite common during childhood, with 0.5–16% of children aged 7 to 10 experiencing permanent incisor avulsion. Tooth avulsion usually occurs due to road traffic accidents, falls, and other physical impacts. It can also happen during sports in schools or as a result of physical violence. Permanent incisors are important not only for aesthetics but also for phonetics, mastication, and the psychological health of young patients. Traumatic dental injuries should be thoroughly evaluated and managed by clinicians. An appropriate emergency intervention and treatment plan are crucial for a good prognosis. However, due to various reasons, this condition can result in tooth loss. It is essential to preserve the spaces of avulsed teeth with space maintainers until the patient reaches the appropriate age for permanent treatment. The aim of this study is to improve the quality of life of an 8 year old pediatric patient in the mixed dentition period, whose upper right central permanent incisor was avulsed, by providing temporary oral rehabilitation with a modified essix appliance and to offer a qualified treatment alternative to the patient.

References

Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331-42.

Şaroğlu I, Sönmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol. 2002;18(6):299-303.

Chafaie A, Dahan S, Le Gall M. Fiber-reinforced composite anterior bridge in pediatric traumatology: clinical considerations. Int Orthod. 2013;11(4):445-56.

Bahammam LA. Knowledge and attitude of emergency physician about the emergency management of tooth avulsion. BMC Oral Health. 2018;18:1-9.

Marcano-Caldera M, Mejía-Cardona JL, Parra Sánchez JH, Méndez de la Espriella C, Covo Morales E, Sierra Varón G, et al. Knowledge about emergency dental trauma management among school teachers in Colombia: a baseline study to develop an education strategy. Dent Traumatol. 2018;34(3):164-74.

Wang G, Wang C, Qin M. A retrospective study of survival of 196 replanted permanent teeth in children. Dent Traumatol. 2019;35(4-5):251-8.

Murthy P, Deshmukh S. Regional odontodysplasia and its treatment maneuver. Int J Health Allied Sci. 2013;2(3):153-.

AlNuaimi R, Mansoor M. Prosthetic rehabilitation with fixed prosthesis of a 5-year-old child with Hypohidrotic Ectodermal Dysplasia and Oligodontia: a case report. J Med Case Rep. 2019;13:1-6.

Goel D, Goel GK. Restoring esthetics after anterior tooth loss for a five-year-old child: natural tooth pontic fiber reinforced prosthesis. Case Rep Dent. 2013;2013(1):215816.

Sheridan JJ. Essix retainers: fabrication and supervision for permanent retention. J Clin Orthod. 1993;27:37-45.

Giancotti A, Romanini G, Docimo R. Early treatment of anterior crossbite with an Essix-based appliance. J Clin Orthod. 2004;38(3):161-4.

Lindauer SJ, Shoff RC. Comparison of Essix and Hawley retainers. J Clin Orthod. 1998;32(2):95-7.

Sheridan JJ, Ledoux W, McMinn R. Essix technology for the fabrication of temporary anterior bridges. J Clin Orthod. 1994;28(8):482-6.

Banu MD, Priya VK, Gaddam S, Challa SK. Rehabilitation of maxillary bilateral regional odontodysplasia in a 7-year-old child using modified Essix retainer. Contemp Clin Dent. 2022;13(3):292-4.

Amitha H, Sunil T, Kansar N, Kavyashree B, Kavitha M. Avulsion of primary tooth-modified Essix retainer as a space maintainer. Int J Med Dent Case Rep. 2015;2(1):1-2.