A successful periodontal-orthodontic treatment of an advanced case of dental trauma in a 9-year-old patient: A case report with 16-year follow-up.

BACKGROUND

Traumatic dental injury (TDI) most often requires complex and interdisciplinary management. Several factors are associated with the success of TDI treatment, including proper treatment planning and periodontal maintenance.

METHODS

The present 16-year follow-up report describes the interdisciplinary management of an extrusive luxation of teeth #8 and #9 in a 9-year-old-patient.

RESULTS

After the extrusion, endodontic treatment was performed on teeth #8 and #9 and then periodontal treatment with supra and subgingival debridement associated with locally antibiotic application was done. Once periodontal treatment was stable, orthodontic treatment started. During orthodontic treatment, the patient was advised to have periodontal maintenance every 3-4 months. At the 16-year follow-up appointment, both teeth were in function and in acceptable esthetic condition.

CONCLUSION

This report demonstrates that proper diagnosis combined with interdisciplinary therapeutic approaches and periodontal maintenance could lead to long-term successful and stable outcomes.

KEY POINTS: The effective management and proper treatment of dental trauma depend on an accurate diagnosis. Interdisciplinary management is essential for successful treatment of dental trauma. Patient adherence to periodontal maintenance directly influences outcomes.

PLAIN LANGUAGE SUMMARY: When dental injuries are diagnosed correctly and treated with the help of different dental specialists-along with regular periodontal care-the long-term results can be stable and successful.