The evaluation of delayed treatment on dentoalveolar trauma by surgical reposition and wire-composite splint technique

The trauma of dentoalveolar region should consider as an emergency case. A successful management strongly associated with a proper diagnosis and earliest treatment within the limited time. Previous studies suggested that there was an association between a delayed treatment and the pulp-periodontal tissues healing complications such as pulp necrosis, root resorption, and alveolar bone defect. The purpose of this paper was to evaluate the management of dentoalveolar trauma that treated after 30 hours by surgical reposition and stabilization with the wire-composite splint. A female patient, 26 years old, came to our Dental Hospital, with chief complaint intrusion and extrusion of three maxillary anterior teeth after fallen to the ground due to loss of consciousness. Based on the clinical and radiographic examination, the diagnosed as dentoalveolar fracture regions 11, 12, 21. Treatment of choice for this case is reposition of the tooth surgically, followed by stabilization using wire-composite splint technique within five weeks. The tooth mobility, tooth sensibility, periodontal tissue's health, and radiographic appearance evaluated up to 3 months. This assessment will continue in six and twelve months after the treatment. Unfortunately, the patient could not return for control since she moved to another city. We conclude that delayed treatment of dentoalveolar trauma which causes intrusion and extrusion of the teeth can be treated with the reasonable result by surgical reposition, followed by stabilization using the wire-composite splint up to 3-month control.