EMERGENCY : Multidisciplinary approach in the immediate replantation of a maxillary central incisor


This report proposes a discussion of the various peculiarities of a tooth 21 replantation in a 9-year-old patient and describes different treatment facets and a 6-year follow-up of the case.

The splint was maintained for a 3-month period. After a 10 year therapy with calcium hydroxide to control inflammatory resorption, the final canal obturation was performed 18 months after trauma with mineral trioxide aggregate.

Two years after replantation, the orthodontic treatment had been initiated and 5 years after avulsion, whitening of tooth 21 was also done.

Clinical and radiographic follow-up at regular intervals revealed that the treated tooth was still functional, showing normal mobility, resorption stabilization, and normal appearance of the bone tissue and lamina dura, testifying the treatment has been so far successful.

Read Also : Reimplantation of avulsed dry permanent teeth after three days

The possibility of submitting avulsed teeth to other dental treatments once, there is close professional monitoring by controlling the risks and benefits of each therapy, as well as the patient's cooperation, extra-oral time, and storage media for transport to the dentist among other details is emphasized.

Introduction : Avulsion, which involves total tooth displacement from its socket, causing rupture of periodontal fibers, is a true emergency case.

In both deciduous and permanent dentitions, maxillary central incisors are the most frequently avulsed teeth.

Treatment implies a dental replantation procedure whose success is directly connected with the extra-alveolar period, storage medium, type of splint used, period of endodontic treatment, medication prescribed, oral hygiene, and the patient's general health condition.

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°ejgd.org
°Multidisciplinary approach in the immediate replantation of a maxillary central incisor - A six and a half year follow-up
°Cristina Braga Xavier, Beatriz Farias Vogt, Giselle Daer Faria, Leandro Calcagno Reinhardt, Elaini Sickert Hosni, Josué Martos




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