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Intrusive luxation is a type of recognizable luxation injury represented by a deeper axial displacement of the tooth
toward the alveolar bone. Treatment strategies include waiting for the tooth to return to its position, immediate
surgical repositioning, and repositioning through dental traction by orthodontic devices. The aim of this case report
was to present the management of severe dental trauma and later restoration following IADT. A 20-year-old patient
was presented after fainting at home four hours before, resulting in a dento-alveolar trauma. Clinical examinations
revealed a traumatic intrusion, in 1.2, 1.1 and 2.1, uncomplicated crown fractures in 1.1 and 2.1 and a complicated
crown-root fracture in 2.2. The diagnosis was confirmed with CBCT. Following IADT protocol, the emergency
treatment consisted of the surgical repositioning and semi-rigid splinting using orthodontic wire-composite, repla
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cing the buccal bone plate, and postoperative instructions to the patient regarding oral hygiene. After 2 weeks the
root canal treated and filled with fiberglass posts in 1.2, 1.1, 2.1 and 2.2. Splint was removed after 4 weeks and the
IADT reassessment protocol followed, with revisions at 6-8 weeks, 6 months, a year and annual reviews for 5 years.
A year after the treatment, the traumatized teeth were restored with minimally invasive preparations of feldspathic
ceramic. Esthetics and function were recorded with a 3-year follow-up period.
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