Intentional Replantation of an Avulsed Immature Permanent Incisor: A Case Report

Maníglia-Ferreira, Cláudio; Gomes, Fábio de Almeida; Vitoriano, Marcelo de Morais

doi:10.1016/j.joen.2017.03.007

Cited by 14 publications

(12 citation statements)

References 31 publications

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“…Resorption is a common sequel of orthodontic treatment that leads to the loss of pulp and periodontal ligament in significant quantities due to acute trauma effect. The survival of PDL cells is important to prevent the root resorption because PDL cells helps with regeneration, attachment, and prevent resorption (13)(14)(15)(16). Inflammatory resorption and replacement resorption are generally diagnosed after one to two months.…”

Section: Discussionmentioning

confidence: 99%

“…Ribbond fiber splint was used in this case due to its good properties of elasticity, translucency, adaptability, adherence, and resistance to traction and impact (6). In delayed reimplantation cases, it is suggested that the ideal time for root canal treatment is seven to 10 days after reimplantation and that calcium hydroxide should be used for one month as an intracanal medication (6)(7)(8)(9). For this reason, we started the canal treatment in this case two weeks later.…”

Section: Discussionmentioning

confidence: 99%

“…Sader et al reported that periodontal ligament cells did not survive when the extra oral time of the teeth is more than two hours. Andreasen (1975) also reported that very few live cells remained after 60 minutes of dry storage, and no live cells remained after 120 minutes (7). According to Mathewson's study, if the duration of the extra oral period is less than 30 minutes, success is 90%; it is 43% when the duration is between 30 and 90 minutes, and when it is more than 90 minutes, the success rate falls to 7%.…”

Section: Introductionmentioning

confidence: 99%

“…Avulsion is a very serious dental injury that most frequently happens to the maxillary anterior teeth in children between the ages of seven and nine years. The ideal treatment for permanent tooth avulsion is immediate reimplantation into the socket (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11). The purpose of permanent tooth reimplantation is to keep the teeth in place until the development of the face and the alveolar bone is complete because early permanent tooth loss can lead to loss of the existing space and shifting of the middle line (2).…”

Section: Introductionmentioning

confidence: 99%

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Five-Year Follow-Up of a Delayed Reimplanted Avulsed Tooth: Case Report

Özlek¹,

Ak²,

Akkol³

2018

Eastern J Med

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This case involves the reimplantation of an avulsed mandibular central tooth that occurred two hours after an accident. A nine-year old girl had visited nearest dental health care center complaining of an avulsed mandibular central tooth two hours after her bicycle accident. The avulsed tooth had been kept in milk in for those two hours. It was reimplanted and referred to a dentistry faculty with a composite splint. The patient presented to our clinic three days later. The nonhygienic composite splint was removed and gingivoplasty procedure was performed by a periodontologist. The new splint was applied using polythene fiber post. Clinically normal periodontal tissues were detected after two weeks, and endodontic treatment was begun. Root filling of the clinicall y asymptomatic tooth was performed after 30 days, and coronal restoration finished using composites. The tooth is still functional now after five years. The long-term prognosis for the replanted tooth is unclear. During this growth period, however, the hei ght of the alveolar bone has been preserved and is aesthetically satisfying.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Five-Year Follow-Up of a Delayed Reimplanted Avulsed Tooth: Case Report

Özlek¹,

Ak²,

Akkol³

2018

Eastern J Med

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“…A variety of decontamination protocols for RET have been reported. Most use sodium hypochlorite as irrigant solution and triple (metronidazole, ciprofloxacin, and minocycline) (TAP) (7,9) or double (metronidazole/ ciprofloxacin) (DAP) (10,11) antibiotic paste as intracanal medicament. Both substances have antimicrobial activity against endodontic pathogens (10)(11)(12)(13), which allows repair of apical tissues, cellular induction and reestablishment of root formation (10).…”

Section: Introductionmentioning

confidence: 99%

12-Year Follow-Up of Regenerative Endodontic Treatment of Immature Permanent Upper Incisors with Acute Abscess

et al. 2020

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This case report discusses the endodontic treatment of a 7-year-old girl who suffered trauma (intrusion) to the immature upper central incisors secondary to a fall from a bicycle. Thirty days after the accident the patient was brought by her mother for clinical and radiographic assessment with a chief complaint of swelling and tenderness to percussion and palpation. Acute apical abscess associated with immature teeth were diagnosed. A decision was made to perform regenerative endodontic treatment. Access cavities were made and the root canals were disinfected by irrigation with 2.5% sodium hypochlorite. Final irrigation was performed with 17% EDTA. Due to pain and presence of secretions, 2% chlorhexidine gel was applied as an intracanal medicament. Seven days later, at the second visit, the root canals were once again disinfected and the canals of the right and left permanent upper central incisors were filled with double antibiotic paste (metronidazole/ciprofloxacin) and calcium hydroxide paste, respectively. Zinc oxide was mixed in both pastes. At the third visit, after 21 more days, the pastes were removed and the periapical areas were stimulated with a #80 K-file to encourage clot formation within the pulp cavities. A mineral trioxide aggregate (MTA) paste cervical plug was placed and the teeth were restored with glass ionomer cement. Radiographs and CBCT scans demonstrated complete root formations. The patient has been followed for 12 years, with evidence of clinical success throughout.

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