Treatment and 18-month Follow-up of Trauma-induced Alveolar Bone Fracture and Lateral Luxation: A Case Report

Abstract

Traumatic dental injuries are emergencies requiring prompt intervention to prevent complications. This case report presents the endodontic management and 18-month follow-up of a 32-year-old male who suffered an alveolar fracture and lateral luxation of maxillary anterior teeth due to workplace trauma. Clinical examination revealed lacerations, buccal displacement of roots, and palatal displacement of crowns. Manual repositioning and semirigid fiber splinting were performed. Endodontic treatment was initiated on tooth 11 after loss of vitality. Despite initial stabilization and favorable healing, 18-month follow-up revealed pulp necrosis and periapical pathology in tooth 13 and persistent mobility in multiple teeth, likely due to trauma severity and poor oral hygiene. This case emphasizes the importance of early diagnosis, proper repositioning, splinting, endodontic intervention, and strict oral hygiene for optimal long-term outcomes in dentoalveolar trauma.