A Case Report of Management of Intruded Mandibular Incisors in a Young Child with Epilepsy
Abstract
The most common dental trauma during early childhood is intrusive luxation, which results in the displacement of the tooth into its alveolus. It is a severe form of dental trauma that can cause damage to the periodontal ligament, pulp, and alveolar bone. The International Association of Dental Traumatology recommends either extraction or spontaneous re-eruption of the intruded primary tooth, depending on the severity of the intrusion. This case report provides a brief insight into the management of intruded mandibular primary incisors caused by an epileptic attack in a 4-year-old boy diagnosed with refractory spastic cerebral palsy. After 6 weeks of the traumatic incident, spontaneous eruption of the intruded teeth was observed. However, the teeth were found to be mobile after 9 months of clinical and radiographic monitoring, necessitating extraction. Conservative management including waiting for spontaneous eruption with close monitoring is a treatment option for intrusive primary teeth in young children.
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