Treatment of Clinical Complications from Dental Trauma without Appropriate Reimplantation and Applied Space Maintainer

Purpose is to emphasize the danger and necessity for the treatment of clinical complications from dental trauma without appropriate reimplantation and applied space maintainer. Two clinical cases with dental trauma without appropriate reimplatation and used space maintainer resulting in complications of the dental arch were treated with different orthodontic techniques. The first clinical case with missing maxillary right incisor and consequential loss of its’ space in the dental arch at the age of 10 was treated with mobile orthodontic appliance equipped with active space maintainer. The second clinical case with missing maxillary left incisor and consequential loss of its’ space in the dental arch as well as occlusal discrepancies in the transversal, sagittal and vertical plane at the age of 20 was treated by application of fixed orthodontic appliance. In the first clinical case, the space for placement of the right incisor was increased from 3mm to 7mm. After reaching the age of 18, an implant and corresponding prosthodontic suprastructure were inserted on the space designated for the right incisor. In the second clinical case the space for the placement for the lateral incisor was also increased, the occlusal discrepancies were corrected and the patient was scheduled for surgical correction of the malocclusion. The timely treatment of dental trauma with reimplantation of the lost tooth and use of appropriate space maintainers should not be neglected and patients that suffered dental trauma should be continuously followed until maturity when a proper prosthodontic solution can be made. Case report (J Int Dent Med Res 2012; 5: (2), pp. 81-87)