PMC3335575_01
Preoperative radiograph. Severe intrusive luxation of tooth 11 and root fractures of apical thirds of both maxillary central incisors.
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In addition, root fractures of the apical third of both maxillary central incisors were also noticed in the radiograph (Figure 1).
Buccal access for endodontic management.
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The placement of a rubber dam was adapted to the case, and due to the impossibility of conventional access form, the palatal surface, coronal access was carried out via buccal surface of the crown (Figure 2).
Intrusion and retroclination of tooth 11 and lingual rotation and displacement of tooth 12 (Jan. 2007).
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During the orthodontic management, the following characteristics were noticed due to trauma: intrusion and retroclination of tooth 11 and lingual rotation and displacement of tooth 12 (Figure 3).
The risks of buccal osseous fenestration.
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Considering the risks for repositioning the intruded teeth, such as buccal osseous fenestration (Figure 4), the segmented arch technique was chosen, aiming the control of exact applied forces and exact direction on active unit for the teeth repositioning, by means of a torching arch (Figure 5).
The torquing arch mechanics.
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Considering the risks for repositioning the intruded teeth, such as buccal osseous fenestration (Figure 4), the segmented arch technique was chosen, aiming the control of exact applied forces and exact direction on active unit for the teeth repositioning, by means of a torching arch (Figure 5).
Twenty-month posttreatment radiograph (Sep. 2008).
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Three and half years posttreatment radiograph (June 2010).
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Posttreatment clinical aspect after 3 and 1/2 years, showing mild grey discoloration of the crown (June 2010).
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