Management of intruded primary teeth using computer-controlled local anesthetic delivery systems

Tatalaksana gigi susu yang intrusi menggunakan sistem anestesi lokal yang dikendalikan komputer

Abstract

Intrusion is the most common trauma in children. Management of intruded deciduous teeth includes spontaneous re-eruption or ex-traction. Pain management during extraction is performed with local anaesthesia, but this can cause fear and pain in patients. This case report describes the management of an intruded primary tooth using a computer-controlled local anaesthesia system (CCLAD). A 6-year-old boy presented with an intruded maxillary primary incisor following a fall from stairs the previous day. Clinical findings included swelling and ulceration of the lip and chin, haematoma, and gingival ulceration. Ellis Class IX fractures were no-ted in teeth 51, 61, and 62 with severe intrusion (grade III), slight mobility, and fusion of 61-62. Panoramic imaging revealed age-nesis of teeth 22. After one week of observation for spontaneous re-eruption, extraction of teeth 51, 61, and 62 was performed due to the risk to the permanent replacement teeth. Anaesthesia was administered using the P-ASA (palatal-alveolar superior anterior) technique with SleeperOne5 (CCLAD), improving patient comfort and reducing fear. Monitoring over 12 months showed no com-plications. It was concluded that SleeperOne5 as a CCLAD with the P-ASA anaesthesia approach is a useful alternative for ma-naging multiple impacted anterior deciduous teeth.