Tooth avulsion in children: to replant or not

Abstract

Replanting avulsed teeth with a doubtful long‐term prognosis due to unfavorable extra‐alveolar conditions has recently been questioned by Kenny and Barrett (1). Many factors, however, still favor replanting such teeth. First of all, reliability of failure predictors has not yet been tested in prospective studies. Secondly, preservation of even resorbing replanted teeth may offer significant long‐term advantages in preparation for definitive treatment. Also, for psychological reasons, replantation can significantly reduce the anxiety and despair of both the injured child and the parents. Furthermore, decoronation of a resorbing anterior tooth will allow it to serve as a matrix for alveolar bone formation and preserve an otherwise resorbing alveolar process, thereby leaving an environment of bone and soft tissue that is optimal for both single implant insertion or fixed prosthesis. Finally, replantation and subsequent decoronation, if indicated, appears to be cost‐effective in comparison with non‐replantation combined with subsequent repeated prosthetic tooth replacements owing to vertical alveolar growth of adjacent ridge areas, with eventual definitive implant placement or a fixed prosthesis.

Knowledge of emergency management of avulsed teeth among a sample of Egyptian parents

“…This may be related to the absence of knowledge about the hazards of replanting the primary teeth, as indicated by Andreasen et al [6,28] and Al-Khayatt and Davidson [29]. Most parents of the two groups did not show interest in permanent tooth replantation by themselves, which agrees with Santos et al [30] and disagrees with the results of Raphael and Gregory [15], and Qazi and Nasir [13].…”

History of the Dental Trauma Guide

“…Periodontal healing complications were also analysed, and a strong relation was found between root resorption events and the type of luxation (54,55,(66)(67)(68)(69)(70). Furthermore, for intrusions, a relationship was found between the choice of initial treatment and frequency of subsequent root resorption (51)(52)(53).…”

Predictors for healing complications in the permanent dentition after dental trauma

“…The decoronation procedure, which was introduced in the early 1980s (60), uniquely allows the maintenance of both the vertical and labio‐lingual growth of the alveolus supporting the decoronated root (61, 62). The procedure has dramatically changed and broadened the indication for replantation of avulsed teeth even in young children (63).…”