A case report of management of intruded mandibular incisors in a young child with epilepsy / Dayang Fadzlina Abang Ibrahim, Siti Hajar Hamzah and Alaa Sabah Hussein

• Main Authors: Abang Ibrahim, Dayang Fadzlina, Hamzah, Siti Hajar, Hussein, Alaa Sabah
• Format: Article
• Language: English
• Published: Faculty of Dentistry, Universiti Teknologi MARA 2024
• Subjects: Dental health education; Oral and dental anatomy and physiology
• Online Access: https://ir.uitm.edu.my/id/eprint/104817/1/104817.pdf; https://ir.uitm.edu.my/id/eprint/104817/; https://myjms.mohe.gov.my/index.php/corals/index

The most common dental trauma during early childhood is intrusive luxation, which results in the displacement of the tooth into its alveolus. It is a severe form of dental trauma that can cause damage to the periodontal ligament, pulp, and alveolar bone. The International Association of Dental Traumatology recommends either extraction or spontaneous re-eruption of the intruded primary tooth, depending on the severity of the intrusion. This case report provides a brief insight into the management of intruded mandibular primary incisors caused by an epileptic attack in a 4-year-old boy diagnosed with refractory spastic cerebral palsy. After 6 weeks of the traumatic incident, spontaneous eruption of the intruded teeth was observed. However, the teeth were found to be mobile after 9 months of clinical and radiographic monitoring, necessitating extraction. Conservative management including waiting for spontaneous eruption with close monitoring is a treatment option for intrusive primary teeth in young children.