Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications

The protocolization of dental trauma treatment has significantly improved the prognosis of affected teeth. However, the primary objective in many cases is to buy time, as late complications may compromise the tooth’s retention. This case report presents the long-term follow-up of an 18-year-old pati...

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Main Authors: José Espona, Fernando Duran-Sindreu, Miguel Roig, Elena Roig
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/crid/8898427
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author José Espona
Fernando Duran-Sindreu
Miguel Roig
Elena Roig
author_facet José Espona
Fernando Duran-Sindreu
Miguel Roig
Elena Roig
author_sort José Espona
collection DOAJ
description The protocolization of dental trauma treatment has significantly improved the prognosis of affected teeth. However, the primary objective in many cases is to buy time, as late complications may compromise the tooth’s retention. This case report presents the long-term follow-up of an 18-year-old patient who sustained lateral luxation of Tooth 1.1 and a horizontal fracture of Tooth 2.1 due to trauma. Initial treatment included repositioning and splinting, followed by root canal therapy. Over 17 years, both teeth remained functional, although complications arose later, leading to their eventual extraction and replacement with implants. This case highlights the benefits of maintaining natural teeth in young patients and discusses potential complications with implant placement. The importance of regular follow-up and early intervention in trauma cases is emphasized, as well as the need to inform patients about the risks and benefits of different treatment approaches. The conservative management of dental trauma, especially in young patients, can effectively delay the need for implants and preserve natural teeth. Regular follow-up and early intervention are crucial to prevent complications and maintain long-term esthetic and functional outcomes.
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spelling doaj-art-2c99cf77eab64f36a2e95c7a82db8afa2025-08-20T04:00:54ZengWileyCase Reports in Dentistry2090-64552025-01-01202510.1155/crid/8898427Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late ComplicationsJosé Espona0Fernando Duran-Sindreu1Miguel Roig2Elena Roig3Department of Restorative DentistryDepartment of EndodonticsDepartment of Restorative DentistryDepartment of OrthodonticsThe protocolization of dental trauma treatment has significantly improved the prognosis of affected teeth. However, the primary objective in many cases is to buy time, as late complications may compromise the tooth’s retention. This case report presents the long-term follow-up of an 18-year-old patient who sustained lateral luxation of Tooth 1.1 and a horizontal fracture of Tooth 2.1 due to trauma. Initial treatment included repositioning and splinting, followed by root canal therapy. Over 17 years, both teeth remained functional, although complications arose later, leading to their eventual extraction and replacement with implants. This case highlights the benefits of maintaining natural teeth in young patients and discusses potential complications with implant placement. The importance of regular follow-up and early intervention in trauma cases is emphasized, as well as the need to inform patients about the risks and benefits of different treatment approaches. The conservative management of dental trauma, especially in young patients, can effectively delay the need for implants and preserve natural teeth. Regular follow-up and early intervention are crucial to prevent complications and maintain long-term esthetic and functional outcomes.http://dx.doi.org/10.1155/crid/8898427
spellingShingle José Espona
Fernando Duran-Sindreu
Miguel Roig
Elena Roig
Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications
Case Reports in Dentistry
title Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications
title_full Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications
title_fullStr Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications
title_full_unstemmed Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications
title_short Conservative Management of Horizontal Fracture and Lateral Luxation in the Anterior Region: A 20-Year Follow-Up Case Report With Late Complications
title_sort conservative management of horizontal fracture and lateral luxation in the anterior region a 20 year follow up case report with late complications
url http://dx.doi.org/10.1155/crid/8898427
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AT miguelroig conservativemanagementofhorizontalfractureandlateralluxationintheanteriorregiona20yearfollowupcasereportwithlatecomplications
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