Feras Aldhafr
Pediatric Dental Resident at National Guard Hospital, Saudi Arabia
Title: Multidisciplinary approach in managing dental trauma in combination with anterior crossbite
Biography
Biography: Feras Aldhafr
Abstract
Introduction: The incidence of dental traumatic injuries globally is around 5%, the main types of injury to permanent teeth were uncomplicated crown fractures (20.8%) (1,2). Management of tooth fracture requires an accurate diagnosis, treatment planning, and regular follow-ups. Tooth fractures mostly involve front teeth in the upper jaw because of their position in the oral cavity. The most common causes are sports activities, traffic accidents, and physical violence (3). Dental aesthetics have become highly important in recent years. More patients seek a visually pleasing smile, and the perception in the media about the concept of beauty has improved. Nowadays, patients’ demands for invisible restorations which provide a natural look have increased (4). Anterior crossbite is a malocclusion that takes place for various reasons, leads to major problems, and may be fixed using various methods. Its prevalence in different countries around the world varies between 2.2% and 36% (5). Previous trauma may be predictive of an increased risk of root resorption during orthodontic treatment; thus, an appropriate observation period should be taken prior to the start of the orthodontic treatment depending on the type of the injury (6).
Objectives: To present the principles in managing dental trauma with anterior crossbite and describe the multidisciplinary approach followed to provide the optimum care for such patient.
Case report: A 7 years old female patient came to the emergency room with her mother with a chief complaint according to the mother ‘’My daughter fell down and broke her teeth’’ and chief complaint according to the child: “I have extra teeth please remove it”.
Clinical examination: Patient presented with poor oral hygiene, multiple carious teeth, uncomplicated crown fracture involving enamel and dentin in teeth #11,21 retained teeth #52,62 and anterior crossbite of teeth #12,22. This clinical situation often requires a multidisciplinary approach to provide a functional and esthetic resolution.