Conservative Management of Extrusive Luxation in an Immature Permanent Incisor with Delayed Presentation: A Three-Year Case Report

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Kolayli S. N., Kolayli M., Aydinbelge M.

32nd International Congress of the Turkish Society of Paediatric Dentistry, Antalya, Türkiye, 10 - 13 Ekim 2026, ss.424-429, (Tam Metin Bildiri)

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.424-429
  • Erciyes Üniversitesi Adresli: Evet

Özet

INTRODUCTION: Extrusive luxation may damage the periodontal ligament and pulpal neurovascular supply. In immature permanent teeth with an open apex, preservation of pulpal vitality is important because healing may permit continued root development and apical closure.

CASE REPORT: A 9-year-old boy presented approximately 48 hours after a bicycle accident with a 3–4 mm extrusive luxation and an uncomplicated crown fracture of the right maxillary central incisor (FDI 11). Radiographic examination revealed incomplete root development and an open apex. Complete anatomical repositioning could not be achieved because of the delayed presentation. The tooth was gently repositioned to the most favorable position achievable and stabilized with a passive, flexible splint for two weeks. The crown fracture was restored with composite resin. No endodontic intervention was performed, and the tooth was monitored clinically and radiographically. During the three-year follow-up, the tooth remained asymptomatic and functional, continued to show a positive pulp sensibility response to electric pulp testing (EPT), and demonstrated continued root development and progressive apical closure, with no evidence of ankylosis, inflammatory root resorption, or periapical pathology.

CONCLUSIONS: Favorable pulpal and periodontal healing with continued root development was observed despite delayed presentation and incomplete anatomical repositioning. In immature permanent teeth, conservative management and careful long-term monitoring may preserve the potential for continued root development when definitive signs of pulp necrosis or infection are absent.