Severe Case of Delayed Replantation of Avulsed Permanent Central Incisor: A Case Report with Four-Year Follow-Up

Lopes, Luísa Bandeira; Botelho, João; Machado, Vanessa

doi:10.3390/medicina56100503

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…A tooth avulsion is the total rupture of the periodontal ligament, complete loss of connection between the tooth and the socket, and cemental damage. The most crucial element for reattachment after tooth replantation is the viability of the periodontal ligament cells [8]. Factors such as extraoral dry time, storage media, and the presence of any root abnormalities affect the outcome and survival rate of avulsed teeth [9].…”

Section: Discussionmentioning

confidence: 99%

Management of Avulsion tooth within golden period in young permanent tooth

Dimas Surya Saputra,

Rosiana Dewi Prayogo,

Putri Andarini

et al. 2024

World J. Adv. Res. Rev.

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Introduction: Tooth avulsion is described as a displacement of the tooth from its socket. It may occurs due to trauma and most often involves the maxillary teeth. Numerous studies have shown that this injury is one of the most serious dental injuries, so prompt and correct emergency management is essential for attaining the best outcome after this injury. Factors that determine healing after replantation are media storage, periodontal tissue damage, extra-alveolar period and intact alveolar socket. Case History: A 11-years-old male patient was referred from Puskesmas Perak to the Department of Paediatrics Dentistry at RSKGM-P Airlangga Surabaya with complaints that his upper tooth was off from its socket. The incident occurs after his head hit the table around 30 minutes ago. The patient had no history of systemic disease and didn’t have any allergic to food and medicine. The tooth was soaked on normal saline. Discussion: The optimal treatment option following an avulsion injury is to replant avulsed tooth at the earliest. Appropriate emergency management, significant treatment plans, and prompt action influence good prognosis in the management of an avulsion injury. In the past, it was advised to perform root canal therapy extra-orally before replantation. However, the current guidelines recommend root canal therapy be performed intra-orally to minimizes the extra-oral time. After the replantation, we continue to observe the tooth every month to see the vitality, mobility, ankylosis and resorption. Conclusion: Replantation is the treatment of choice following avulsion to facilitates restorative therapy and quality of life.

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Section: Discussionmentioning

confidence: 99%

Management of Avulsion tooth within golden period in young permanent tooth

Dimas Surya Saputra,

Rosiana Dewi Prayogo,

Putri Andarini

et al. 2024

World J. Adv. Res. Rev.

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“…Infection-related and ankylosis-related root resorption are the most critical consequences because they are the main causes of the extraction of the replanted tooth 10 , 11 , 12 . However, although rare, there are indications in the literature of delayed replantations, such as an avulsed tooth with 22 13 and 16 extraorally hours 14 that were successful.…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of survival of avulsed and replanted permanent teeth according to 2012 or 2020 IADT Guidelines

Roskamp,

Perin,

Castro

et al. 2023

Braz. Dent. J.

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This study aimed to compare the survival of replanted teeth that followed the 2012 or the 2020 International Association of Dental Traumatology (IADT) guidelines. Sixty-two permanent replanted teeth were retrospectively assessed (IADT 2012, n = 45; IADT 2020, n = 17). Five years after replantation (from January 2017 to December 2021), clinical and radiographic examinations were performed. A significance level of 95% was considered to evaluate the outcomes. Thirty-one teeth (50.0%) remained in their sockets and 31 (50.0%) were lost due to external root resorption. Of the 25 (40.3%) teeth replanted within one hour, 16 (64.0%) remained in their sockets, and 9 (36.0%) were lost. Twenty-two (71.0%) of all 31 lost teeth had an extra-alveolar time of more than one hour. Twelve teeth remained in their sockets without resorption: 8 (66.7%) were replanted within one hour, 2 (16.7%) followed the 2012 IADT, and 2 (16.7%) the 2020 IADT guidelines for late replantation. There was a significant difference (p <0.05) in the extra-alveolar time (< one hour), but without difference between the guidelines in late replantation (p > 0.05). Replanted teeth following both, 2012 or 2020 IADT guidelines, have similar clinical outcomes. The extra-alveolar time of less than one hour was demonstrated to be important to keep the permanent tooth in its socket.

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Appropriate Terminology for the Time Elapsed From Avulsion of a Permanent Tooth to Replantation: A Scoping Review and Delphi Consensus

Tewari,

Garima,

O'Connell

et al. 2024

Dental Traumatology

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BackgroundThe prognosis of an avulsed permanent tooth depends on the time elapsed from injury to replantation in the injured socket. Wide variability exists in the terminologies used to describe this period. Hence, the aim of this study was to identify and categorize the terminologies related to this aspect of tooth avulsion, grade the explanations provided by the authors, and develop a consensus about the most appropriate terminology through a Delphi approach.MethodsThis study involved a scoping review to identify and analyze the terminologies. It was performed according to PRISMA‐ScR with a systematic search performed in PubMed, Scopus, EMBASE, LILACS, and Web of Science. The terminologies were extracted, categorized, and evaluated for correctness. On the basis of the results of the review and expert group discussion, an ideal terminology was proposed. A Delphi study with 20 global experts in dental traumatology was conducted to develop a consensus for the proposed terminology and its description.ResultsA total of 92 studies were included. They were distributed into five categories according to the terminology used: (a) dry period alone, (b) total period with dry and/or wet times, (c) extra‐alveolar period, (d) extraoral period, and (e) miscellaneous. The explanations provided were correct in 37.5% of the studies that used an extraoral period. In the Delphi study, the lowest scores were given to the term dry period. There was an agreement of 95% for the proposed terminology.ConclusionA wide variation in terminologies was observed that could be distributed into five categories. The correctness of explanations was highest in the studies that described total periods with dry and wet times. The Delphi study revealed excellent agreement for the proposed term “total extra‐alveolar period,” with precise and clear recordings of both nonphysiologic (dry) periods and physiologic (wet) periods.

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Severe Case of Delayed Replantation of Avulsed Permanent Central Incisor: A Case Report with Four-Year Follow-Up

Cited by 5 publications

References 27 publications

Management of Avulsion tooth within golden period in young permanent tooth

Management of Avulsion tooth within golden period in young permanent tooth

Retrospective analysis of survival of avulsed and replanted permanent teeth according to 2012 or 2020 IADT Guidelines

Appropriate Terminology for the Time Elapsed From Avulsion of a Permanent Tooth to Replantation: A Scoping Review and Delphi Consensus

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