Contemporary Digital Treatment Of Resorbed Avulsed Maxillary Incisors: Multidisciplinary Approach

Traumatic dental injuries, particularly avulsion of maxillary incisors, present significant clinical challenges. Long-term prognosis is often compromised by complications such as root resorption, requiring a strategic and multidisciplinary treatment approach. The integration of digital technologies enhances precision in diagnosis, planning, and rehabilitation. A 17-year-old patient with a history of traumatic avulsion of a maxillary incisor underwent root canal treatment and replantation. After eight years, the tooth exhibited root resorption, necessitating the extraction of all maxillary incisors. In the same stage, bone augmentation was performed using a Straumann xenograft and membrane. Two dental implants were placed in a second-stage surgery. The integration of digital technologies, including intraoral scanners, CBCT, and CAD/CAM systems, played a key role in precise planning and implant positioning. The use of 3D printed temporary crowns facilitated optimal temporary restoration during healing, while the CAD/CAM-designed monolithic zirconia screw-retained bridge provided a durable prosthetic solution. This approach not only ensured functional restoration but also addressed the esthetic needs of the patient. Severe dental trauma requires a well-coordinated multidisciplinary and digital approach to achieve predictable outcomes. This case underscores the importance of digital tools in enhancing precision and efficiency across all treatment phases, ensuring optimal long-term results in prosthodontic rehabilitation.

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Publication Details

Journal
International Dental Journal
Published
2025-10-01
DOI
https://doi.org/10.1016/j.identj.2025.105229
Primary Topic
Dental Trauma and Treatments
Type
article
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article

Contemporary Digital Treatment Of Resorbed Avulsed Maxillary Incisors: Multidisciplinary Approach

Бруно Николовски, Vesna Jurukovska Shotarovska, Vesna Trpevska, Анета Мијоска et al.
International Dental Journal
Dental Trauma and Treatments
article

Contemporary Digital Treatment Of Resorbed Avulsed Maxillary Incisors: Multidisciplinary Approach

Бруно Николовски, Vesna Jurukovska Shotarovska, Vesna Trpevska, Анета Мијоска, Marjan Petkov, Vera Radojkova Nikolovska, Mihael Stanojević, Julija Zarkоva Atanasova, Daniela Veleska Stefkovska, Marina Eftimovska
article en

Abstract

Traumatic dental injuries, particularly avulsion of maxillary incisors, present significant clinical challenges. Long-term prognosis is often compromised by complications such as root resorption, requiring a strategic and multidisciplinary treatment approach. The integration of digital technologies enhances precision in diagnosis, planning, and rehabilitation. A 17-year-old patient with a history of traumatic avulsion of a maxillary incisor underwent root canal treatment and replantation. After eight years, the tooth exhibited root resorption, necessitating the extraction of all maxillary incisors. In the same stage, bone augmentation was performed using a Straumann xenograft and membrane. Two dental implants were placed in a second-stage surgery. The integration of digital technologies, including intraoral scanners, CBCT, and CAD/CAM systems, played a key role in precise planning and implant positioning. The use of 3D printed temporary crowns facilitated optimal temporary restoration during healing, while the CAD/CAM-designed monolithic zirconia screw-retained bridge provided a durable prosthetic solution. This approach not only ensured functional restoration but also addressed the esthetic needs of the patient. Severe dental trauma requires a well-coordinated multidisciplinary and digital approach to achieve predictable outcomes. This case underscores the importance of digital tools in enhancing precision and efficiency across all treatment phases, ensuring optimal long-term results in prosthodontic rehabilitation.

International Dental JournalVol. 75
University of Sarajevo (BA), University of East Sarajevo (BA), Goce Delcev University (MK), Ss. Cyril and Methodius University in Skopje (MK)
Openalex Percentile: Top 51%
Dental Trauma and Treatments
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