International Association of Paediatric Dentistry: IAPD Virtual 10-13 June 2021, Geneve, İsviçre, 10 - 13 Haziran 2021, cilt.31, sa.2, ss.1-463
311 | Late replantation of an avulsed tooth: A case reportS. DemirPediatric Dentistry, Faculty of Dentistry, Gaziantep University, Gaziantep, TurkeyIntroduction: Avulsion is a term used when the tooth comes completely out of its alveolar socket. Replantation of an avulsed tooth is particularly important for the protection of the bone surrounding the tooth, especially during active growth.Case Report: A 9- year- old male patient presented to clinic complaining of an avulsed 21 after a fall. The patient`s pre-sented 48 hours after the trauma with the avulsed tooth stored in a dry environment. No alveolar fractures were diagnosed and the alveolar socket was empty radiologically. Treatment provided included removing the necrotic periodontal liga-ment fibers residues from the root surface of the avulsed tooth, followed by extra oral root canal treatment. Tooth was reimplanted after keeping in 2% sodium fluoride gel for 20 min and was fixed with semiflexible splint for 2 weeks. The patient was called for routine controls.Discussion: In the studies conducted, it has been stated that the storage conditions of the avulsion tooth are one of the most important factors affecting the recovery after replanta-tion. In addition, it has been reported that the most important factor affecting periodontal ligament fibers healing after re-plantation is the time the tooth spends outside the alveolar socket.Conclusion: As a result of the 24- month follow- up of the pa-tient, no pathological lesion was observed radiographically, especially due to the ankylosis replacement resorption was observed. Clinically, the neighborhood tissues was examined in normal appearance and no pathological formation was ob-served, but the tooth was in the infra- occlusion slightly more than 1mm due to the ankylosis.