Recommended guidelines for treatment of the avulsed tooth

Camp, Joe H.

doi:10.1016/s0099-2399(83)80065-x

Cited by 25 publications

(3 citation statements)

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“…Traditionally it has been recommended that avulsed, replanted, mature teeth should be treated endodontically with long term calcium hydroxide therapy (11,12). Calcium hydroxide (CH) is antibacterial (13,14) and, in addition has been suggested to favorably influence the local environment at the resorption site, promoting healing (4).…”

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Short vs. long‐term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth

Trope

Moshonov

Nissan

et al. 1995

Dental Traumatology

113

120

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This study examined, histologically, the healing of intentionally produced inflammatory root resorption of replanted teeth in beagle dogs, treated with short- or long-term placement of calcium hydroxide. Thirty beagle dog incisors were randomly divided into four groups. In group 1 (negative control), uninfected incisors were extracted, the roots were longitudinally grooved and the teeth were replanted within 2 min. In group 2 the root canals were artificially infected followed by extraction, longitudinal grooving, and replantation as in group 1. Radiographs were taken biweekly and at the first signs of inflammatory root resorption or at 4 weeks, the root canals were fully instrumented and medicated with calcium hydroxide. In group 2, the root canals were permanently obturated with gutta-percha and sealer after 1 week of calcium hydroxide. The teeth in group 3 were treated as described in group 2 but after 1 wk the calcium hydroxide dressing was repacked for the duration of the study. In group 4 (positive control) the teeth were treated as described in groups 2 and 3 but no endodontic treatment was performed. Twelve weeks after the initiation of the endodontic treatment, sacrifice and histological preparation were carried out. In group 1, complete cemental repair was seen in all teeth. In group 2, five of ten teeth showed complete cemental repair whereas in group 3 complete cemental repair was seen in nine of ten teeth. None of the teeth in group 4 showed cemental repair. It was concluded that long-term may be more effective than short-term calcium hydroxide treatment of established inflammatory root resorption.

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mentioning

confidence: 99%

Short vs. long‐term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth

Trope

Moshonov

Nissan

et al. 1995

Dental Traumatology

113

120

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“…The most important factor relating to the success or failure ofa replanted tooth is the degree of viability of the periodontal membrane cells (1). Camp (2) recommends that root canal treatment be performed in the mouth in all situations. As regards an avulsed tooth with a fully formed root, the recommended procedure is to remove the pulp, and shape, cleanse and fill the root canal with calcium hydroxide sometime between 7 and 14 days following the replantation.…”

mentioning

confidence: 99%

“…The calcium hydroxide should be replaced approximately every 3 months for 6-24 months. The canal should be filled with gutta-percha and sealer only after the calcium hydroxide therapy is completed (2).…”

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confidence: 99%

Inflammatory resorption: untreated, arrested, prevented

Remeikis

Stroner

1989

Dental Traumatology

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Three human replantation cases are presented wherein the results are in accord with the literature concerning inflammatory resorption and calcium hydroxide therapy. The cases unintentionally simulate a designed experiment wherein the control case received no treatment and the other 2 were subjected to independent variables such as obturation in the hand and the timing of the calcium hydroxide therapy. The untreated case resulted in loss of the tooth, while manipulation of variables in the other two resulted in retention.

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2012

Pathology of the Hard Dental Tissues

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Recommended guidelines for treatment of the avulsed tooth

Cited by 25 publications

References 0 publications

Short vs. long‐term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth

Short vs. long‐term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth

Inflammatory resorption: untreated, arrested, prevented

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