Stabilizing teeth after traumatic injuries is crucial for optimal recovery, and recent case reports highlight successful management techniques. In one case, a 5-year-old girl avulsed her deciduous left lateral incisor after a fall. The tooth was replanted and stabilized with a light-cured resin, and a vacuum-formed retainer was provided. Regular check-ups and radiographs were performed, and endodontic treatment was carried out once the tooth was stable. The patient had a successful 12-month follow-up with no complications.
Another case involved a 24-year-old female who experienced lateral luxation of her maxillary left central incisor due to a fall. Similar to the previous case, the tooth was stabilized using a light-cured resin and a vacuum-formed retainer. Over time, the tooth showed varying responses to sensitivity tests and an electric pulp test. Eventually, pulp necrosis was diagnosed, and root canal treatment was performed. The patient experienced healing and resolution of symptoms over a period of six months.
In a third case, a 42-year-old female suffered palatal luxation of her maxillary left central incisor after a fall. An alveolar bone fracture was observed in the CBCT scan. The fracture was reduced and stabilized with a light-cured resin, and a vacuum-formed retainer was provided. The patient had regular follow-up appointments, during which sensitivity tests, mobility checks, and radiographs were conducted. The tooth showed gradual improvement over time, with responsiveness to electric pulp tests and a reduction in percussion pain.
These case reports emphasize the importance of using splints, such as flexible splints or sutures, in stabilizing teeth after traumatic injuries. This approach allows for passive force application, enables physiologic tooth movement, avoids harm to soft tissue, does not adversely affect the occlusion, allows for endodontic treatment if necessary, and facilitates easy removal of the splint. Regular monitoring and appropriate treatment are also essential in achieving positive outcomes and restoring tooth function.
Managing traumatic injuries in pediatric patients can be especially challenging due to their anxiety and fear. Therefore, providing efficient and compassionate care is crucial in ensuring successful treatment. By promptly stabilizing teeth and implementing appropriate follow-up care, dental professionals can help patients recover and maintain optimal oral health.