Replantation of an avulsed permanent anterior tooth

Abstract

This case report describes a case of avulsed left maxillary central incisor tooth which was replanted in the dental office. The tooth was gently rinsed of any debris and placed in normal saline during the examination and preparation of the replantation socket. The tooth was replanted and functionally splinted. The following week the tooth was opened for pulp extirpation and placement of calcium hydroxide. Two weeks later, the root canal was filled with gutta-percha and zinc oxide eugenol sealer, and the access cavity was restored with a bonded composite restoration; the splint was removed. Two year clinical and radiological follow up of the case showed ankylosis and infraocclusion of the replanted toothUpdate Dent. Coll. j: 2015; 5 (1): 30-34

Delayed replantation of avulsed permanent maxillary central incisor: Case report with 6‐year follow‐up

“…Replantation of an avulsed tooth within 5 min of avulsion usually ensures prompt return of the PDL cells to their normalcy. 20,22 In case of more than 15 min of dry storage time, the precursor, progenitor, or stem cells are no longer able to differentiate into fibroblasts, 1,2 and after 30 min of dry storage, virtually all of the PDL cells that are remaining on the root surface are likely to have become necrotic hence the poor long-term prognosis. [1][2][3]23 Studies have been done focusing on either cell-based therapy or activation of endogenous repairing systems induced by additional biological cues.…”