Successful conservative management of intrusive luxation in the primary teeth: A case report

Andriani Octavia, Eva Fauziah

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Introduction: An intrusive luxation is a severe type of dental trauma that may destruct the periodontal ligament, pulp, and alveolar bone. However, the position of the intruded primary teeth may be close to the developing permanent successors; thus, any traumatic injuries may result in multiple complications, and an appropriate treatment should be established, including waiting for spontaneous re-eruption, surgical repositioning, and extraction. This study aimed to present a successful conservative management of intrusive luxation in tooth 61 in a 23-month-old girl. Case report: A 23-month-old girl and her parents were referred to the Pediatric Dentistry Clinic of Universitas Indonesia. The patient presented with a history of falling while playing, and she was then diagnosed with intrusive luxation in the left maxillary primary incisor. Spontaneous re-eruption was observed 4 weeks after injury. Periodic evaluation was conducted until 6 months after injury, and no complications were observed on the affected tooth. Discussion: The successful treatment of intrusive luxation in the primary teeth was influenced by the child's age, severity and direction of intrusion, and/or involvement of permanent tooth bud. Conservative management, including waiting for spontaneous reeruption, is a treatment option for intrusive luxation if the permanent tooth bud is not damaged. Conclusion: The intruded primary incisor was displaced away from the developing permanent tooth bud; therefore complete spontaneous re-eruption was observed 6 months after injury with no complications on the affected tooth clinically and radiographically.

Original languageEnglish
Title of host publicationClinical Reports in Dentistry
PublisherNova Science Publishers, Inc.
Number of pages7
ISBN (Electronic)9781536173291
ISBN (Print)9781536173284
Publication statusPublished - 3 Apr 2020


  • Conservative management
  • Intrusive luxation
  • Primary teeth


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