Endodontic Orthodontic Treatment of Traumatized Teeth using Intracanal Medication

Dental trauma happens frequently in children and adolescents between 8and 18years of age, involving mostly the upper central incisors. Sometimes, an orthodontic patient will accidentally traumatize his/her teeth before or during orthodontic treatment. When the trauma is substantial, it can avulse the tooth. Reimplantation and adequate emergency treatment to preserve the injured tooth in the oral cavity is indicated. Therefore, to minimize the complications that may occur, such as root resorption or ankylosis, intracanal medication is advised to eliminate bacteria that contribute to the inflammatory process and consequently induce resorption. These study describes the endodontic-orthodontic considerations for patients with traumatized anterior teeth using intracanal medication or not at Prince Ali bin Alhussain Hospital in the south of Jordan. Patients who experienced tooth trauma and had endodontic-orthodontic treatment were studied retrospectively utilizing a clinical evaluation. The study found that male and female patients were different with regard to the type of trauma; accordingly, intrusion, extrusion, subluxation, and crown-root fractures were most common in male patients with 72.7%, and crown-root fracture, avulsion, and lateral luxation were most common in female patients with 63.4%. It was also found that 24.3% of female patients and 22.9% of male patients were infected. Additionally, 52.6% of the participants were recorded as not being sure of having intracanal medication in the traumatized tooth. Further studies are recommended to identify any affecting factors.