Traumatic intrusion of tooth

Traumatic intrusion of an upper incisor can cause damage to the permanent tooth bud which is located just below the deciduous root.

Question:

My two-year-old son Leonardo fell at school and his right upper incisor returned. I would like to know what are the possible evolutions: does it come back, should it be removed, is it reabsorbed? When does the definitive begin to form? Could it have created problems for the definitive? What other problems could it have caused?

Answer:

Traumatic intrusion of an upper incisor can cause damage to the permanent tooth bud which is located just below the deciduous root. This damage is related to the extent of the intrusion and the development of the underlying element. The trauma can therefore cause anomalies of eruption, structure, and development, in other words it can be simple discoloration of the enamel, but also serious lacerations of the crown. The intruding tooth normally descends back into the arch due to the elasticity of the alveolar tissues.

However, I recommend a check-up visit to the orthodontist. If the deciduous has lost vitality it will tend to darken. In any case, it is advisable to present the certification of the incident to the school so that the insurance procedures can go ahead and cover any future expenses (sometimes considerable) related to the incident.

If you are in Firenze or Pistoia our offices are able to provide assistance.

References:

• Lesioni traumatiche della dentatura decidua e mista: valutazione del danno permanente in responsabilità civile