The Use of a Natural Tooth Crown Following Traumatic Injuries in Primary Dentition

Preschool children are frequently affected by traumatic dental injuries, most of them during the first three years of life. Due to the resiliency of the alveolar bone surrounding the primary teeth, most of these injuries fit into tooth luxations category. In this paper, two different cases of early loss of primary incisors resulting from luxations are described. Removable esthetic space maintainers were placed using the natural crown of the traumatized teeth and the children were evaluated over a 12 month period. The treatment given could be considered an excellent rehabilitation option since it restores the esthetics and masticatory function,allows speech development, benefits oral hygiene and prevents the establishment of tongue habits and malocclusions.

Deciduous tooth, Primary tooth, Space Maintenance, Tooth Avulsion; Tooth Luxation, Dental Crowns

1. Arenas M, Barberia E, Lucavechi T, Maroto M. Severe trauma in the primary dentition—diagnosis and treatment of sequelae in permanent dentition. Dent Traumatol, 22: 226–230, 2006.

2. Borum MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Endod Dent Trau-matol, 14: 31–44, 1998.

3. Cardoso M, de Carvalho Rocha MJ. Traumatized primary teeth in chil-dren assisted at the Federal University of Santa Catarina, Brazil. Dent Traumatol, 18: 129–133, 2002.

4. Cunha RF, Pugliesi DM, de Mello Vieira AE. Oral trauma in Brazilian patients aged 0-3 years. Dent Traumatol, 17: 210–212, 2007.

5. Soporowski NJ, Allred EN, Needleman HL. Luxation injuries of pri-mary anterior teeth—prognosis and related correlates. Pediatr Dent, 16: 96–101, 1994.

6. Moss SJ, Maccaro H. Examination, evaluation and behavior manage-ment following injury to primary incisors. N Y State Dent J, 51: 87–92, 1985.

7. Andreasen JO AF. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 3rd ed. Copenhagen: Munksgaard; 1994.

8. Christophersen P, Freund M, Harild L. Avulsion of primary teeth and sequelae on the permanent successors. Dent Traumatol, 21: 320–323, 2005.

9. Kahabuka FK, Plasschaert A, van’t Hof M. Prevalence of teeth with untreated dental trauma among nursery and primary school pupils in Dar es Salaam, Tanzania. Dent Traumatol, 17: 109–113, 2001.

10. Flores MT. Traumatic injuries in the primary dentition. Dent Trauma-tol, 18: 287–298, 2002.

11. Waggoner WF, Kupietzky A. Anterior esthetics fixed appliances for the preschooler: considerations and a technique for placement. Pediatr Dent, 23: 147–150, 2001.

12. Rocha MJ, Cardoso M, de Oliveira J. Avulsion of posterior primary teeth and space maintaining appliance: case report. J Clin Pediatr Dent, 25: 35–39, 2000.

13. Wilson CF. Management of trauma to primary and developing teeth. Dent Clin North Am, 39: 133–167, 1995.

14. Pinkham J. Pediatric Dentistry: Infancy Through Adolescence. 2nd ed. Philadelphia: W.B. Saunders Company; 1994.

15. Kupietzky A. The treatment and long-term management of severe mul-tiple avulsions of primary teeth in a 19-month-old child. Pediatr Dent, 23: 517–521, 2001.

16. Kotsiomiti E, Arapostathis K, Kapari D, Konstantinidis A. Removable prosthodontic treatment for the primary and mixed dentition. J Clin Pediatr Dent, 24: 83–89, 2000.

17. Orsi IA, Faria JFR, Bolsoni I, Freitas AC, Gatti P. The use of resin-bonded denture to replace primary incisors: case report. Pediatr Dent, 21: 64–66, 1999.

18. Margolis FS. The esthetics space maintainer. Compend Contin Educ Dent, 22: 911–914, 2001.

19. Oliveira LB, Tamay TK, Oliveira MD, Rodrigues CM, Wanderley MT. Human enamel veneer restoration: an alternative technique to restore anterior primary teeth. J Clin Pediatr Dent, 30: 277–279, 2006.

20. Ashley M, Holden V. An immediate adhesive bridge using the natural tooth. Br Dent J, 184: 18–20, 1998.

21. Ulusoy AT, Cehreli ZC. Provisional use of a natural tooth crown fol-lowing failure of replantation: a case report. Dent Traumatol, 24: 96–99, 2008.

22. Brin I, Ben-Bassat Y, Zilberman Y, Fuks A. Effect of trauma to the pri-mary incisors on the alignment of their permanent successors in Israelis. Community Dent Oral Epidemiol, 16: 104–108, 1988.

23. Flores MT, Malmgren B, Andersson L, Andreasen JO, Bakland LK, Barnett F, et al. Guidelines for the management of traumatic dental injuries. III. Primary teeth. Dent Traumatol, 23: 196–202, 2007.