404 - Severe Extrusion and the Response of the Neurovascular Bundle

Introduction: Household injuries account for a large percentage of dental trauma. The majority of trauma cases occur outside normal office hours, limiting access to care. Treatment options vary based on the severity of the injury. Close follow-up is extremely important as the most common complications following dental trauma are pulpal necrosis and dental abscess.   

Case Report: This case report details the treatment and observation of a nine-year-old female that severely extruded tooth #26 and subluxated teeth #23, 24 and 25. Patient has no reported medical history, no drug allergies and no reported medications. Patient reported an extruded tooth of approximately 8 mm. The tooth was repositioned by the patient within one minute. A splint was placed on the teeth from mandibular right primary first molar to mandibular left primary first molar for stability. This report will include clinical and radiographic findings along with follow-up intervals as the teeth were monitored.

Identify Supporting Agency and Grant Number: Research Supported by the University of Nevada, Las Vegas