Reimplantation of two incisors avulsed by trauma: a 10-year follow-up (original) (raw)
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Traumatic avulsion and delayed replantation of maxillary incisors in an eleven-year-old child
Introduction: Management of dental trauma in pediatric patients requires not only immediate intervention but also long-term follow-up regimen. Especially, avulsion of permanent teeth is the most serious injuries of the tooth, and replantation of teeth must be carried out immediately for good prognosis. Case Report: This article describes the treatment of four anterior maxillary permanent incisors of an 11-year-old boy with history of traumatic avulsion and delayed replantation. The avulsed teeth were kept in unclean and dry conditions for 5 h. The root canal treatment was carried out with mineral trioxide aggregate (MTA). After treatment, the patient was referred to the orthodontic department and two of replanted teeth were extracted orthodontically. The remained replanted teeth were stable and functional position during the four-year followup. However, one of teeth showed an excessive root resorption on the last radiographic examination. Conclusion: Although the risk of progressive root resorption and ankloysis is high, delayed replantation of avulsed teeth can be a best choice to avoid early tooth loss. To prevent the complications of delayed replantation, MTA might be used for root canal treatment. Thus, the
European Annals of Dental Sciences, 2021
Traumatic dental injuries are particularly common in school-age children and often occur in the anterior region. Process management of cases is possible with alternative treatments according to the root development levels. This case series is aimed to present the treatment and 2-year follow-up of permanent anterior teeth with traumatic dental injuries. Case 1: An 8-year-old patient, who had a bicycle accident 20 days earlier, was diagnosed with extrusion of #31. Due to late admission to the clinic, no repositioning procedure was applied to the tooth. Regenerative endodontic treatment was performed. During the radiological follow-up, the apex was closed in the 12th month; however, it was observed that obliteration started in the root canal at the 24th month. The case is still being followed up at regular intervals. Case 2: A 13-year-old patient, who had a traffic accident 3 days prior, was diagnosed with subluxation in #11, and a root fracture was detected in the apical third of #21....
Severe trauma in young permanent tooth: a case report
RGO - Revista Gaúcha de Odontologia
Dentoalveolar trauma is a severe traumatic injury involving alveolar bone and dental structures. Like any trauma, it can leave irreparable sequelae and even cause tooth loss. The aim of this study is to report on the case of a dentoalveolar trauma in a 10-year-old male patient and the treatment performed with 12-month follow-up. The child had lateral luxation and displacement of teeth 11 and 21 in labial direction after a fall from his own height. The patient was examined at a hospital, received medication and was referred to a dental clinic. At the dental office, the teeth were repositioned, as well as received endodontic treatment and dental reanatomization. Two months after the trauma, root resorption was observed externally, which remained stable for 12 months. It was concluded that post-trauma treatment should be immediate and that follow-up sessions should be done carefully to minimize sequelae and to receive better prognosis.
2019
Case Report Replantation of the avulsed tooth is the ideal treatment that can restore esthetic appearance and occlusal function shortly after the injury. It often presents a challenge to the clinician. This case report presents the management of an avulsed maxillary permanent left central incisor in an 8-year-old girl. It was kept dry for 40 minutes from the moment of trauma until its replantation. Missing several appointments, the patient was diagnosed with dental ankylosis. After six months of replantation, the root canal was then cleaned and filled with calcium hydroxide. Twenty months after replantation, clinically, the tooth showed 5 millimeters of withdrawal and a severe mobility. The radiographic examination revealed both inflammatory resorption and replacement resorption. Decoronation was applied and the extracted crown was used for temporary prosthesis. Six months later, clinical and radiographic control showed satisfactory healing. This treatment technique has proven to be...
Survival of a Maxillary Incisor in an Adolescent Male 16 Years after Its Delayed Replantation
Dentistry Journal, 2019
Introduction: Recreational and sport activities, traffic accidents and human behaviour represent the main causes of trauma in young people. Case presentation: This report describes a case of a 15.2-year-old male who suffered uncomplicated crown fracture and avulsion of tooth 11 and uncomplicated crown fracture of tooth 21 due to a bicycle accident. Tooth 11 was dry stored and it was replanted 18 h after the trauma. The root was planed to remove the necrotic periodontal tissue, the pulp was extirpated before replantation and a flexible splint was applied to tooth 13 to tooth 23 for 3 weeks. A replacement root resorption of replanted tooth was suspected at the 3-month radiographic control and suffered a dramatic increase later; minimal infraocclusion, about 1 mm, was observed due to its ankylosis. Sixteen years after the trauma the patient was scheduled for an orthodontic and implanto-prosthetic rehabilitation. Conclusion: Delayed replantation usually has a long-term poor prognosis, s...
Restoration of Long Standing Traumatized Teeth: A Case Report
Journal of clinical and diagnostic research : JCDR, 2015
Children are uniquely susceptible to craniofacial trauma. Injuries to the teeth occur often as a result of falls and sport activities. The pulp often gets infected after dental trauma resulting in to numerous complications. The authors present a case report of successful restoration of traumatized teeth with open apex which were weakened due to long standing infection and internal resorption. Initially antibiotic combination of 3- mix was used to disinfect the root canals. One tooth is treated with conventional endodontic treatment and the other tooth with open apex and perforation is managed by MTA apexification followed by canal reinforcement using glass ionomer cement and fiber reinforced composite post. Core build up is done using light cure composite resin followed by aesthetic crowns. The patient also presented with the peg shaped lateral incisors, which were built to an aesthetic appearance using light cure composite resins.
Replantation of an Avulsed Tooth 30 Hours after Traumatic Injury
Journal of International Oral Health, 2016
The current study reports replantation of an avulsed tooth after 30 h. The avulsed tooth was the left maxillary permanent central incisor that was kept in a plastic envelope under dry condition in an 8.5-year-old girl. After soaking of the avulsed tooth in hydrofluoric acid gel and irrigation of the socket with sterile saline solution, mineral trioxide aggregate was placed over the apex of avulsed tooth and root canal filling was completed. Finally, the avulsed tooth was soaked in doxycycline solution and placed in the socket. Subsequently, the tooth was splinted with 0.7 mm orthodontic wire for 8 weeks. At 2-, 6- and 12-month follow ups, the clinical and radiographic findings of the tooth did not reveal any signs of replacement or inflammatory resorption.
The Journal of Contemporary Dental Practice
Aim: The aim of this article is to describe a one-visit approach to attempt revascularization in the upper right and left central incisors after traumatic injury. Background: A single-visit conservative revascularization approach can be used to promote root growth and maturation following traumatic dental injury and loss of pulpal tissues. Case description: An eight-year-old female patient presented in Dentalia Clinics, Jeddah, Kingdom of Saudi Arabia, in 2016 with traumatic dental injury. Upon clinical and radiographic examination, it was found that the trauma resulted in loss of pulp vitality in two upper central incisors. Local anesthesia was administered, and a rubber dam was placed. Access cavity was done for each tooth separately. 2% chlorhexidine followed by sterile saline was used for irrigation with no instrumentation. Mineral trioxide aggregate (MTA) was used as the sealing material after blood clot formation. Follow-up showed continuous root maturation in the right central incisor, at 6 months, one year, two years, and three years. Root canal treatment was done in 2019 due to the development of periapical lesion. The 6-month follow-up radiograph also showed loss of the crown of the left central incisor due to a second trauma with retained apical root fragment. The fragment was embedded inside the bone and showed continuous maturation during the three years. Conclusion: A single-visit regenerative endodontic approach showed successful results in revascularizing the upper permanent central incisor after loss of pulpal tissue. Clinical significance: Immature permanent teeth can be treated by a single-visit revascularization procedure to promote root maturation and increase in radicular dentin length and width.