Intrusive luxation involves the displacement of the tooth apically into the
alveolar socket. This type of injury represents a very complex wound, invo
lving disruption of the marginal gingival seal, alveolar bone, periodontal
ligament fibers, cementum and the neuro-vascular supply to the pulp, which
results in severely compromised healing and possible complications. The cas
e presented is a report of a 60-year-old lady who fell and intruded her two
maxillary central incisors. The healing outcomes of the two central inciso
rs were markedly different from each other even though they sustained simil
ar injuries.