Zusammenfassung
Im Folgenden wird ein 9 Jahre alter Patient vorgestellt, welcher bei einem Schwimmbadunfall
auf die Oberkieferfront gestürzt war. Die Zähne 11 und 21 erlitten dabei eine ausgeprägte
intrusive Dislokation nach vestibulär sowie eine Schmelz-Dentinfraktur ohne Pulpabeteiligung.
Fünf Monate nach dem Unfall stellte der Patient sich erstmals in der Poliklinik für
Kieferorthopädie der Justus-Liebig-Universität vor, da eine Spontaneruption der traumatisierten
Zähne ausgeblieben war. Im Rahmen der kieferorthopädischen Behandlung wurden 11 und
21 vorsichtig mobilisiert und extrudiert, zunächst mittels vertikaler Gummizüge an
einer Oberkieferplatte. Die Feineinstellung erfolgte durch Teilbebänderung im Oberkiefer
mit abschließender konservierender Kronenrekonstruktion. Die Einordnung der traumatisierten
Zähne verlief komplikationslos unter Erhalt der Vitalität.
Abstract
Early orthodontic treatment of a 9-year-old patient is described. Due to a swimming
pool accident teeth 11 and 21 had been severely intruded and displaced labially and
had suffered dentine-enamel fractures without pulp involvement. Five months after
the accident the patient was referred to the Orthodontic Department of the University
of Giessen, since no spontaneous eruption of the intruded teeth had occurred since
then. During orthodontic treatment teeth 11 and 21 were carefully mobilized and extruded,
first, with vertical elastics pulled to an upper removable plate. The final alignment
was performed with partial multibracket appliances followed by composite crown reconstructions.
Both incisors could be aligned without complications and under maintenance of vitality.
Schlüsselwörter
Frontzahntrauma - intrusive Dislokation - Frühbehandlung
Key words
incisor trauma - intrusive displacement - early treatment
Literatur
- 1
Andreasen J O, Bakland L K, Matras R C, Andreasen F M.
Traumatic intrusion of permanent teeth. Part 1. An epidemiological study of 216 intruded
permanent teeth.
Dent Traumatol.
2006;
22
83-89
- 2
Andreasen J O, Bakland L K, Andreasen F M.
Traumatic intrusion of permanent teeth. Part 2. A clinical study of the effect of
preinjury and injury factors, such as sex, age, stage of root development, tooth location,
and extent of injury including number of intruded teeth on 140 intruded permanent
teeth.
Dent Traumatol.
2006;
22
90-98
- 3
Andreasen J O, Bakland L K, Andreasen F M.
Traumatic intrusion of permanent teeth. Part 3. A clinical study of the effect of
treatment variables such as treatment delay, method of repositioning, type of splint,
length of splinting and antibiotics on 140 intruded permanent teeth.
Dent Traumatol.
2006;
22
99-111
- 4
Chaushu S, Shapira J, Heling I, Becker A.
Emergency orthodontic treatment after the traumatic intrusive luxation of maxillary
incisors.
Am J Orthod Dentofacial Orthop.
2004;
126
162-172
- 5 Cvek M. Endodontic management of traumatized teeth. In: Andreasen JO, Andreasen FM
(eds). Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Munsgaard,
Copenhagen 1994; 517–579
- 6
Ebeleseder K A, Santler G, Glockner K, Hulla H, Pertl C, Quehenberger R F.
An analysis of 58 traumatically intruded and surgically extruded permanent teeth.
Endod Dent Traumatol.
2000;
16
34-39
- 7
Erverdi N, Kargul B.
Complete intrusion of maxillary permanent central incisors.
J Clin Pediatr Dent.
2002;
27
9-11
- 8
Järvinen S.
Fractured and avulsed permanent incisors in Finnish children. A retrospective study.
Acta Odontol Scand.
1979;
37
47-50
- 9
Kaste L M, Gift H C, Bhat M, Swango P A.
Prevalence of incisor trauma in persons 6–50 years of age: United States, 1988–1991.
J Dent Res.
1996;
75
696-705
- 10
Kinirons M J, Sutcliffe J.
Traumatically intruded permanent incisors: a study of treatment and outcome.
Br Dent J.
1991;
170
144-146
- 11
Kinirons M J.
UK national clinical guidelines in paediatric dentistry.
Int J Paediatr Dent.
1998;
8
165-168
- 12
Malikaew P, Watt R G, Sheiham A.
Prevalence and factors associated with traumatic injuries (TDI) to anterior teeth
of 11–13 year old Thai children.
Community Dent Health.
2006;
23
222-227
- 13
Marcenes W, Murray S.
Changes in prevalence and treatment need for traumatic dental injuries among 14-year-old
children in Newham, London: a deprived area.
Community Dent Health.
2002;
19
104-108
- 14
Petti S, Tarsitani G.
Traumatic injuries to anterior teeth in Italian schoolchildren: prevalence and risk
factors.
Endod Dent Traumatol.
1996;
12
294-297
- 15
Shapira J, Regev L, Liebfeld H.
Re-eruption of completely intruded immature permanent incisors.
Endod Dent Traumatol.
1986;
2
113-116
- 16
Traebert J, Bittencourt D D, Peres K G, Peres M A, de Lacerda J T, Marcenes W.
Aetiology and rates of treatment of traumatic dental injuries among 12-year-old school
children in a town in southern Brazil.
Dent Traumatol.
2006;
22
173-178
Dr. J. von Bremen
Poliklinik für Kieferorthopädie Justus-Liebig-Universität Gießen und Universitätsklinikum
Gießen und Marburg GmbH Standort Gießen
Schlangenzahl 14
35392 Gießen
Phone: 06 41 / 9 94 61 26
Fax: 06 41 / 9 94 61 19
Email: Julia.v.bremen@dentist.med.uni-giessen.de
