Akademik Veri Yönetim Sistemi
22 nd ESE Biennial Congress 2025, Paris, Fransa, 3 - 06 Eylül 2025, ss.18-19, (Özet Bildiri)
AIM - The aim of this case report is to evaluate the diagnostic, therapeutic, and prognostic processes of traumatic dental and soft tissue injuries through a a detailed case evaluation. INTRODUCTION - Traumatic dental injuries and associated soft tissue injuries are common consequences of facial trauma, often resulting in complex clinical scenarios that require and accurate management. The prognosis of such injuries depends on timely diagnosis, appropriate treatment, and regular follow-up. This case report discusses the management of a patient with uncomplicated crown fractures, lateral luxation, maxillary buccal cortical bone fracture, and soft tissue injury, highlighting the role of endodontic treatment and interdisciplinary collaboration. CASE PRESENTATION - A 25-year-old healthy male patient presented with upper incisor and lower lip injuries following facial trauma seven days earlier. Initial emergency care included lip suturing for lacerations caused by the upper incisors. Clinical and radiographic examinations revealed uncomplicated crown fractures in teeth 11, 21, and 22, lateral luxation, and a maxillary buccal cortical bone fracture. Periapical radiographs showed lower lip swelling and two embedded tooth fragments. Vitality tests confirmed non-vital teeth, with positive percussion and palpation responses. Teeth 13 to 23 were splinted to stabilize the buccal cortical bone. Endodontic treatment was initiated with calcium hydroxide medication, renewed after 14 days. The patient was referred to plastic surgery for embedded tooth fragments removal. Root canal treatment was completed, the splint removed after four weeks, and teeth restored with composite resin. DISCUSSION - A multidisciplinary approach is essential in managing traumatic dental injuries. In this case, endodontic treatment and splinting ensured tooth stabilization and preservation. Calcium hydroxide, used as an intracanal medicament, promoted healing while preventing infection and resorption. The 1-year follow-up confirmed the success of the treatment, with the teeth remaining functional and asymptomatic. Fig. 1: Preoperative Fig. 2: Preoperative Fig. 3: Preoperative Lower Lip Fig. 4: Postoperative Lower Lip Fig. 5: Postoperative Fig. 6: 2 Year Follow-up REFERANCESBourguignon C, Cohenca N, Lauridsen E, et al (2020) International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dent Traumatol, 36, 314-330 CLINICAL RELEVANCE -This case report highlights the clinical significance of accurate diagnosis, timely intervention, and a multidisciplinary approach in effectively managing traumatic dental injuries.