Late replantation of an avulsed tooth: A case report


Demir S.

International Association of Paediatric Dentistry: IAPD Virtual 10-13 June 2021, Geneve, Switzerland, 10 - 13 June 2021, vol.31, no.2, pp.1-463

  • Publication Type: Conference Paper / Summary Text
  • Volume: 31
  • Doi Number: 10.1111/ipd.12870
  • City: Geneve
  • Country: Switzerland
  • Page Numbers: pp.1-463
  • Dokuz Eylül University Affiliated: No

Abstract

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.