Dental extrusion in children: Case report

Abstract

: The orofacial sphere is an area frequently affected by trauma. Their severity is much greater in children and adolescents, due to the immaturity of the dental and bone structures and the instability of the dental arches. A 9-year-old child, victim of a road traffic accident, was referred to the emergency department of the Albert Royer Children's Hospital, for dental trauma. In the consultation around 15 hours after the trauma, the clinical and radiographic assessment revealed extrusion of the right upper central incisor with gingival tearing, lateral luxation of the upper lateral incisors and the left upper central incisor, and laceration of the inner surface of the right upper lip associated with edema. Reimplantation of the extruded tooth was performed. Flexible canine-to-canine splint was applied for 3 weeks. A non-steroidal anti-inflammatory prescription was made to complement the one already made in the emergency consultation. Clinical and radiographic follow-ups at 1 week, 15 days, 1 month, 3 months, 6 months, and 1 year were carried out.: Despite their high frequency, especially in children, dental trauma should be the subject of an emergency consultation. Even if the prognosis is reserved, appropriate therapy should be undertaken if the conditions are right, while respecting the guidelines of learned societies for the child's well-being and quality of life.