Delayed multidisciplinary management of an intrusively luxated maxillary lateral incisor- A case report Chirag Pandya, 1 Mihir Pandya, 2 Soham Patel, 3 Milan Ughareja 4 Introduction Crown fractures account for the highest percentage of all traumatic injuries to the permanent dentition. 1 Intrusive luxation is the partial displacement of a tooth from its bony socket. Clinically, intruded teeth were seen shortened with deviation in association with bleeding from the periodontal ligament. There is pain during occlusion, either no or mild spontaneous pain. Radiographically, an extruded tooth exhibits an decreased periodontal ligament space after the accident. 1, 2 This paper reports a case of delayed (1 month after the injury) multidisciplinary management of an intrusively luxated permanent lateral incisor. The intruded tooth was diagnosed as necrotic without coronal discoloration. Upon completion of root canal treatment, the tooth was repositioned orthodontically and finally restored post endodontic therapy for esthetic purposes. 2 Case report A 18-year-old girl presented to the Department of Endodontics, Pacific Dental College, Udaipur, Rajasthan (India) with discomfort and mild pain in her maxillary right lateral incisor upon biting. She reported falling on her face while climbing down the stairs 4 month earlier. She got the endodontic treatment done for the central incisors in a private dental clinic. Clinically, the right lateral incisor was intrusively luxated while the central incisor had a horizontal crown fracture. This lateral incisor was indicated for extraction in the private clinic so the patient turned up to our department for a second opinion. The tooth was diagnosed as non-vital after electrical pulp and cold tests. There was no color change in the crown and the crown of the tooth was intact. Radiographically, the right lateral incisor was displaced with an apical radiolucency associated with the loss of lamina dura and widening of the periodontal ligament. There was no sign of external or internal root resorptions. The mobility of the luxated tooth was recorded as grade 1. IJCDS • AUGUST, 2011 • 2(3) © 2011 Int. Journal of Clinical Dental Science ABOUT THE AUTHORS 1.Dr. Chairag Pandya MDS Senior lecturer Department of orthodontics Karnavati school of Dentistry Gandhinagar, Gujarat. 2.Dr. Mihir Pandya BDS Postgraduate student Department Of Conservative Dentistry & Endodontics Pacific Dental College Udaipur, India 3.Dr. Soham Patel BDS Postgraduate student Department Of Conservative Dentistry & Endodontics Pacific Dental College Udaipur, India 4.Dr. Milan Ughareja BDS Postgraduate Student Department Of Conservative Dentistry & Endodontics Pacific Dental College Udaipur, India Corresponding Author: Dr. Mihir Pandya Post Graduate Student Department Of Conservative Dentistry & Endodontics Pacific Dental College Udaipur, India Email: dr.mihirpandya@yahoo.com Abstract Crown fractures account for the highest percentage of all traumatic injuries to the permanent dentition. This paper reports a case of delayed (1 month after the injury) multidisciplinary management of an intrusively luxated permanent lateral incisor. The intruded tooth was diagnosed as necrotic without coronal discoloration. Upon completion of root canal treatment, the tooth was repositioned orthodontically and finally restored post endodontic therapy for esthetic purposes. KEYWORDS: Crown fractures, multidisciplinary management, traumatic injuries 50 CASE REPORT