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Management of traumatically intruded permanent maxillary central incisors

The management of intrusive luxation varies depending on the patient's age, stage of root development, and severity of the trauma. These kinds of injuries are associated mostly with severe damage to the pulpal tissue, periodontium, and the tooth. The aim of this case report is to present multidisciplinary management of complete intrusion of maxillary central incisors in a 9-year-old healthy girl with external root resorption. The root canals were cleaned and medicated with calcium hydroxide then the teeth were extruded by an orthodontist. After two months, a 4 mm apical plug with mineral trioxide aggregate was placed in the apical third of the canals and the remaining of the canal was obturated with thermoplasticized gutta-percha. Cervical root resorption was noticed during the follow-up evaluation and was surgically managed.