Trauma

TRAUMA: 15 y.o. male presented to our office 4 days following a moped accident which traumatized tooth #9. The patient stated tooth #9 was extruded approximately 2mm, and that he immediately pushed it back into the socket with his fingers. Tooth #9 clinically presented with Class II mobility, 3-4mm probing depths with heavy bleeding upon probing, and an exaggerated lingering response to cold.

The PA radiograph demonstrated a mid-root horizontal root fracture. CBCT examination demonstrated an oblique horizontal root fracture approximating the palatal osseous crest.

Despite guarded prognosis, it was in the best interest of the patient to maintain tooth #9 as long as possible—at least through growth and development, until implant therapy is a viable option.