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Delayed Multidisciplinary Management and Oral Rehabilitation of Multiple Traumatic Dental Injuries: A Case Report | ||
| Journal of Dentistry | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 11 مرداد 1405 اصل مقاله (520.74 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.30476/dentjods.2026.110864.2994 | ||
| نویسندگان | ||
| Ahmad Nouroloyouni1؛ Avissasadat Meraji2؛ Rouzbeh Javanshir Heidari3؛ Omid Dianat4؛ Sara Noorolouny* 5؛ Sepehr Nouroloyouni6 | ||
| 1Dept. of Restorative Dentistry and Biomaterial Sciences, Harvard School of Dental Medicine, Boston, MA, USA. | ||
| 2Dentist, Dept. of Periodontics, School of Dentistry, Ardabil University of Medical Science, Ardabil, Iran. | ||
| 3Postgraduate Student, Dept. of Prosthodontics, Nova Southeastern University, Fort Lauderdale, FL, USA. | ||
| 4Division of Endodontics, School of Dentistry, University of Maryland Baltimore, Baltimore, MD, USA. | ||
| 5Dept. of Pediatric Dentistry, School of Dentistry, Ardabil University of Medical Science, Ardabil, Iran. | ||
| 6Dentist, Dept. of Orthodontics, School of Dentistry, Islamic Azad University, Tehran, Iran. | ||
| چکیده | ||
| Guidelines emphasize immediate management of traumatic dental injuries (TDIs), yet evidence for delayed presentations involving combined root fracture, luxation, endodontic infection, and soft-tissue defects remains limited. This case report describes multidisciplinary tooth preservation and oral rehabilitation in a 39-year-old female who presented 3 months after a motor vehicle accident. Clinical and radiographic examination revealed a cervical-third horizontal root fracture of tooth #9 with grade III mobility and negative pulp sensibility tests, and laterally luxated teeth #24 and #25 with pulp necrosis and periradicular radiolucencies; tooth #24 additionally exhibited external root resorption and hard- and soft-tissue fenestration. Management included staged endodontic disinfection, long-term calcium hydroxide medication, mineral trioxide aggregate apical barrier placement, extended semi-rigid splinting, periradicular surgery, and guided tissue regeneration using freeze-dried bone allograft and a resorbable collagen membrane. At 12 months after treatment initiation, all treated teeth remained in situ and functional. The patient reported no pain or functional limitation; no swelling, sinus tract, recurrent fenestration, or other adverse event was detected. Moreover, the radiographs demonstrated healing of the lesions associated with teeth #24 and #25 and radiographic findings consistent with healing at the fracture site of tooth #9. This case illustrates that selected delayed TDI presentations may still be managed conservatively by adapting acute-trauma principles to the clinical findings, defect morphology, and patient preference. | ||
| کلیدواژهها | ||
| Time-to-Treatment؛ Tooth Fractures؛ Tooth Injuries؛ Tooth Luxation؛ Treatment Outcome | ||
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آمار تعداد مشاهده مقاله: 8 تعداد دریافت فایل اصل مقاله: 8 |
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