CLINICAL CASE: TREATMENT OF DENTAL INJURY IN A CHILD WITH CLASS II DIVISION 1 DENTAL MALOCCLUSION AND PROMINENT OF THE UPPER INCISORS
Abstract and keywords
Abstract (English):
The aim of the study is to present the results of complex treatment of a child with class II division 1 dental malocclusion after traumatic dental injuries of the upper incisors. Materials and methods. The child was treated in the Clinical Department № 1 of the Dental Clinic of the Ural State Medical University in Yekaterinburg. Results. The patient's treatment lasted for 6 months, during the treatment conditions were created for the continuation of the physiological growth and development of the tooth root after acute injury: the communication of the tooth cavity and dentin with the external environment was eliminated, the tooth was fixed in the bone tissue by immobilization and temporary splinting, the traumatic node was eliminated. Predisposing factors of repeated tooth injury have also been eliminated: the axial position of the upper incisors has been improved, the sagittal gap has been reduced, and the width of the upper dentition has been increased. The vitality of the tooth is preserved, which serves as a favorable factor for further growth and formation of the tooth. Conclusions. An integrated approach involving specialists from related fields (a pediatric dentist, a dental surgeon, an orthodontist) is a determining factor in the treatment of dental trauma in children. Children with class II division 1 dental malocclusion are a risk group for dental trauma and are most in need of early orthodontic treatment aimed at eliminating the risk factors for dental trauma. Immediate referral of the patient to a dentist, a full range of diagnostic examination methods, as well as an integrated approach to the treatment of dental trauma with subsequent dynamic observation determine the success of the treatment.

Keywords:
dental trauma, class II division 1 dental malocclusion, prominent of upper incisors, permanent teeth, children
References

1. Pod red. Leont'eva V.K., Kisel'nikovoy L.P. Detskaya terapevticheskaya stomatologiya. Nacional'noe rukovodstvo. Moskva : GEOTAR-Media. 2021:952. [Eds. V.K. Leontiev, L.P. Kiselnikova. Pediatric therapeutic dentistry. National guidelines. Moscow : GEOTAR-Media. 2021:952. (In Russ.)]. https://e-stomatology.ru/pressa/literatura/detskaya_terapevticheskaya_stomatologiya.php

2. Elizarova V.M. i dr. Stomatologiya detskogo vozrasta. Chast' 1. Terapiya. Uchebnik. 2-e izd. , pererab. i dop. V 3 ch. Moskva : GEOTAR-Media. 2016: 480. [V.M. Elizarova et al. Pediatric dentistry. Part 1. Therapy. Textbook. 2nd ed. , processed and additional. at 3 o'clock. Moscow : GEOTAR-Media. 2016:480. (In Russ.)]. https://www.rosmedlib.ru/book/ISBN9785970435526.html

3. Kayem V.M. Kliniko-rentgenologicheskoe obosnovanie rannego ortodonticheskogo lecheniya detey s suzheniem verhney chelyusti i privychnym rotovym dyhaniem : dis. … kand. med. Nauk. Ekaterinburg, 2019:100. [V.M. Kayem. Clinical and radiological substantiation of early orthodontic treatment of children with narrowing of the upper jaw and habitual mouth breathing: diss. ... candidate of medical sciences. Ekaterinburg, 2019:100. (In Russ.)]. https://elib.usma.ru/handle/usma/18145

4. Murtazaev S., Mahmudova D. Sovremennye metody lecheniya ostryh travm zubov u detey. Stomatologiya. 2021;2(83):83-86. [S. Murtazaev, D. Makhmudova. Modern methods of treating acute dental injuries in children. Dentistry. 2021;2(83):83-86. (In Russ.)]. https://inlibrary.uz/index.php/stomatologiya/article/view/999

5. Oydinov A.E., Islamov Sh.E., Bahriev I.I. Sudebno-medicinskaya ocenka povrezhdeniy zubov. Voprosy nauki i obrazovaniya. 2020;30:29-35. [A.E. Oydinov, Sh.E. Islamov, I.I. Bakhriev. Forensic medical assessment of dental damage. Issues of Science and Education. 2020;30:29-35. (In Russ.)]. https://elibrary.ru/item.asp?id=43978137

6. Popov V.A., Simakova A.A., Gorbatova L.N., Lipaeva A.A., Matyushina M.S. Esteticheskaya stomatologicheskaya reabilitaciya detey posle travmy frontal'nyh zubov s obnazheniem pul'parnoy kamery. Klinicheskiy sluchay. Stomatologiya detskogo vozrasta i profilaktika. 2023;23(4):411-416. [V.A. Popov, A.A. Simakova, L.N. Gorbatova, A.A. Lipaeva, M.S. Matyushina. Aesthetic dental rehabilitation of children after trauma to the front teeth with exposure of the pulp chamber. Clinical case. Pediatric dentistry and prevention. 2023;23(4):411-416. (In Russ.)]. https://doi.org/10.33925/1683-3031-2023-665

7. Tarasova N.V., Buyankina R.G., Galonskiy V.G., Gradoboev A.V., Zhuravleva T.B. Detskaya travma zubov: prichiny, rasprostranennost', struktura (obzornaya stat'ya). Vestnik novyh medicinskih tehnologiy. 2023;4:16-21. [N.V. Tarasova, R.G. Buyankina, V.G. Galonsky, A.V. Gradoboev, T.B. Zhuravleva. Children's dental trauma: causes, prevalence, structure (review article). Bulletin of new medical technologies. 2023;4:16-21. (In Russ.)]. https://elibrary.ru/item.asp?id=56941585

8. Shishmareva A.S. Zubochelyustnye anomalii u detey: prognoz, profilaktika tyazhelyh narusheniy i sovershenstvovanie rannego ortodonticheskogo lecheniya : avtoref. dis. … doktora medicinskih nauk. Ekaterinburg, 2023:44. [A.S. Shishmareva. Dentoalveolar anomalies in children: prognosis, prevention of severe disorders and improvement of early orthodontic treatment : abstract dis. … Doctor of Medical Sciences. Ekaterinburg, 2023:44. (In Russ.)]. https://elib.usma.ru/handle/usma/19079

9. Batista K.B., Thiruvenkatachari B., Harrison J.E., O'Brien K.D. Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents // Cochrane Database Syst Rev. – 2018;3(3):1-84. DOIhttps://doi.org/10.1002/14651858.CD003452.pub4

10. Berti G.O., Hesse D., Bonifacio C.C., Raggio D.P., Bönecker M.J. Epidemiological study of traumatic dental injuries in 5- to 6-years old Brazilian children // Braz Oral Res. – 2015;29:1-6. DOIhttps://doi.org/10.1590/1807-3107BOR-2015.vol29.0103

11. Daupare S., Narbutaite J. Primary school teachers' knowledge and attitude regarding traumatic dental injuries // J Indian Soc Pedod Prev Dent. – 2020;38(3):216-221. DOIhttps://doi.org/10.4103/JISPPD.JISPPD_170_18

12. Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature // Australian dental journal. – 2016;61(1):4-20. DOI:https://doi.org/10.1111/adj.12395

13. Schatz J.P., Ostini E., Hakeberg M., Kiliaridis S. Large overjet as a risk factor of traumatic dental injuries: a prospective longitudinal study // Prog Orthod. – 2020;21(1):41. doi:https://doi.org/10.1186/s40510-020-00341-5.

14. Souza B.D.M., Dutra K.L., Kuntze M.M., Bortoluzzi E.A., Flores-Mir C, Reyes-Carmona J., Felippe W.T., Porporatti A.L., De Luca Canto G. Incidence of Root Resorption after the Replantation of Avulsed Teeth: A Meta-analysis // J Endod. – 2018;44(8):1216-1227. doi:https://doi.org/10.1016/j.joen.2018.03.002.

15. Tewari N., Bansal K., Mathur V.P. Dental Trauma in Children: A Quick Overview on Management // Indian journal of pediatrics. – 2019;86(11):1043-1047. doi:https://doi.org/10.1007/s12098-019-02984-7.

16. Wang X.M., Su X.L., Wang H., Liu F., Zhao Y.P., Guo Q.Y. Prevalence survey of dental trauma to immature permanent teeth in Xi'an schoolchildren // Hua xi kou qiang yi xue za zhi. –2018;36(2):194-198. doi:https://doi.org/10.7518/hxkq.2018.02.015.


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