Management of Traumatically Intruded Permanent Maxillary Central Incisor: A Case Report And Review of Litrature

Abstract   BACKGROUNackgroundD & AIM: Intrusive luxation is apical displacement of tooth into the alveolar bone due to bicycle accidents, sports accidents, falls, and fights. Intruded tooth is driven into the socket, compressing the periodontal ligament. Intrusion is considered as one of the most severe luxation injuries to affect permanent dentition. Intrusion injuries are often associated with severe damage to the tooth, periodontium, and pulpal tissue. The rare occurrence of this injury in the permanent dentition has resulted in limited studies to support suggested treatment regimens. Clinical treatment for intrusion is especially important because of the severe complications accompanying trauma. Case Report: This article reports traumatically intrusion of permanent maxillary central incisor which was followed by definite guidelines existed in management of traumatically Intruded permanent teeth. Also article is an overview of all available articles which are relevant with intrusion and provides all treatment modalities which are considered beneficial up today. The purpose of this study was to investigate the effect of an educational intervention - course of "smoking and oral health"- on knowledge and attitude of dental students about the complications of smoking and the role of the dentist in smoking cessation. Material & Methods: A quasi-experimental study was conducted on 62 dental students from Isfahan University of Medical Sciences as control group, and 63 dental students from Isfahan Azad University as experimental group. Volunteer students filled out a self-administered questionnaire about their knowledge and attitude regarding dentist’s role in smoking cessation. During the ongoing semester, educational intervention was conducted. Then, the students filled out the questionnaires again. Paired sample t-test، Independent sample t-test ، Chi square، and Fisher exact test served for statistical analysis. Before the intervention, no significant difference existed between two groups regarding their knowledge score (P=0.46). Following the intervention however, knowledge score in intervention group was significantly higher than control group (P<0.001). Students' attitude was not significantly different between two groups before the intervention (P=0.93). Following the intervention, attitude score was significantly higher in intervention group than control group (P<0.001). Following the intervention, the mean scores of attitude increased significantly in both groups (P<0.001). However, the increased score of knowledge and attitude in intervention group was significantly higher than control group (P<0.001). Conclusion:  Instant care and root canal treatment for intruded tooth can play a major role in correcting the tooth position and subsequently improving function and appearance. Therefore, clinician's knowledge and skills has a crucial role in managing intrusive luxation.