Treatment of extrusive luxation by intentional replantation

Martins, Wilson; Westphalen, Vânia Portela Ditzel; Perin, Camila Paiva; Neto, Ulisses Xavier da Silva; Westphalen, Fernando Henrique

doi:10.1111/j.1365-263x.2006.00798.x

Cited by 14 publications

(23 citation statements)

References 11 publications

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“…There are reports of favorable outcomes from intentional replantation in various situations (4)(5)(6)(7)(8), suggesting that this procedure is predictable and reliable, and should be considered more often as a method of treatment to keep the natural dentition. This procedure would be contraindicated in the presence of periodontal disease associated with tooth mobility, extensive caries, gingival inflammation and furcation involvement (1,3).…”

Section: Discussionmentioning

confidence: 99%

“…However, it is possible that the patient ignores the need for immediate treatment, postponing it for days or weeks, making it difficult to reposition the extruded tooth. In such cases, before a late treatment due to blockage by blood clot, another alternative should be considered (4).…”

Section: Introductionmentioning

confidence: 99%

“…Although not commonly used, a treatment option for these cases may be intentional replantation. This technique consists in the extraction followed by reinsertion of the tooth in its source socket (4,5) and is considered as an option for adverse situations (6,7).…”

Section: Introductionmentioning

confidence: 99%

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Replantation as Treatment for Extrusive Luxation

et al. 2015

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In the treatment of extrusive luxation cases, it is important that the repositioning of extruded tooth in the socket is done as soon as possible. If this does not occur, periapical clot becomes organized and makes replantation difficult reposition. In this article the patient referred to the Clinics for dental trauma sustaining extrusive luxation of the maxillary right central incisor. The patient reported having suffered a bicycle accident 12 days before, which caused traumatic tooth injuries. The repositioning was attempted without success and an alternative form of treatment was necessary to solve the case. Intentional tooth replantation, which is the deliberate extraction of the tooth and its replantation, was indicated. This technique allows clot removal and correct repositioning of the extruded tooth. Care should be taken as endodontic treatment is required for the prevention of subsequent infection-related resorption. Intracanal dressing with calcium hydroxide was used for 30 days before final root filling. Splint, systemic antibiotics and avoidance of further damage to the root surface is also important. After 49 months, showed clinical and radiographic characteristics of normality and demonstrates the availability of this technique to adversity in trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Replantation as Treatment for Extrusive Luxation

et al. 2015

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“…3,17,36,49,61 However, some researchers recommend thoroughly curettage of the socket to remove inflammatory tissues and blood clots. 1,2,22,24,27,62 The roots should examine for some defects such as cracks or perforations. Usage of loops, magnification lenses and taking radiographs can be helpful for diagnosis of these defects.…”

Section: Resultsmentioning

confidence: 99%

Intentional Replantation: A Procedure as a Last Resort

Rouhani¹,

Javidi²,

Habibi³

et al. 2011

The Journal of Contemporary Dental Practice

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Aim: To address the indications, contraindications, surgical procedure, complications following treatment, factors influencing the results and success rate of intentional replantation procedure.Background: Intentional replantation is extraction of a tooth to do extraoral root canal therapy, curettage of apical lesion when present, and its replacement in its socket. It has been proposed as an alternative to routine extraction; however, it should be considered a last resort because the root may be fractured during extraction.

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“…However, in cases where the tooth cannot be reset due to a blockage by blood clot or as a result of late treatment, different options may be considered, such as intentional replantation 10 and orthodontic intrusion. [11][12][13][14][15] Intentional replantation is the purposeful extraction of the tooth from its position of origin followed by irrigation, curettage of the socket, and almost immediate replantation of the tooth in the socket. 16 In these cases, endodontic treatment with calcium hydroxide should be instituted 15 days after this procedure to prevent root resorption.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Extrusive Luxation in Permanent Teeth: Literature Review with Systematic Criteria

Amaral

Almeida

Faria

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction:Extrusive luxation is a traumatic dental injury caused by the action of oblique forces, characterized by partial displacement of the tooth out of its socket. The ideal treatment for this type of trauma involves repositioning the tooth in its socket. However, in cases where the tooth cannot be repositioned, different options may be considered, such as intentional reattachment and orthodontic intrusion. The aim is to review the literature on the extrusive luxation of permanent teeth while assessing the risks of complications for two methods of delayed treatment for extrusive luxation. Materials and methods:An electronic search from August 2005 to August 2014 was performed by two reviewers independently, and conflicts were resolved by a third reviewer. The databases used were PubMed and Scopus; the reviewers performed a manual search of the following journals: Dental Traumatology, American Journal of Orthodontics, and Clinical Oral Investigation. Results:After removing the duplicate studies, 328 articles were found. Out of these, 321 were rejected as not addressing the proposed research topic. In addition, five articles were excluded because apical repositioning was used for treatment. Therefore, four articles formed the basis of the study. Conclusion:Factors, such as root formation, the degree of tooth mobility, and the presence of tooth vitality were decisive for the choice of treatment. However, both treatments were effective and showed favorable results, i.e., without periodontal and root damage.Clinical Significance: Knowledge of the risks of complications among two methods of delayed treatment for extrusive luxation, as well as other important factors to take into consideration when choosing a treatment assists dentists in improving the prognostic.

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Treatment of extrusive luxation by intentional replantation

Cited by 14 publications

References 11 publications

Replantation as Treatment for Extrusive Luxation

Replantation as Treatment for Extrusive Luxation

Intentional Replantation: A Procedure as a Last Resort

Treatment of Extrusive Luxation in Permanent Teeth: Literature Review with Systematic Criteria

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