Surgical Repositioning of a Severely Intruded Maxillary Permanent Central Incisor: A Case Report

Abstract

Traumatic intrusion of permanent teeth is a serious dental injury that damages the tooth, periodontal ligament,

and pulpal tissue. Treatment varies based on age, root development stage, and trauma severity. Approaches

include observation for spontaneous re-eruption and surgical, or orthodontic repositioning.

This report presents a 25-year-old male with severe traumatic intrusion of the upper left central incisor and

Ellis class II fractures of the upper right central and both lateral incisors. The intruded tooth was surgically

repositioned within 4-5 hours of the injury, and a semi-rigid splint was placed from the right to left canine.

Endodontic treatment of the repositioned left central incisor was completed after a month due to pulpal

necrosis, while the upper right central and lateral incisors received treatment subsequently when found

symptomatic.

The patient was evaluated every three months clinically and radiographically using intraoral periapical

radiographs and cone-beam computed tomography. At the 12-month follow-up, the patient was asymptomatic

with satisfactory periapical and periodontal healing.