Replantation of Anterior Avulsed Teeth: A Case Report
Abstract
Background: Tooth avulsion is described as a displacement of the tooth from its socket. Replantation on an avulsion permanent dentition is a condition that needs immediate treatment. Replantation of the avulsed tooth can be done in a span of less than 12 hr. Avulsion of tooth may occur due to trauma. Factors that determine healing after replantation are media storage, periodontal tissue damage, extra-alveolar period and intact alveolar socket. The main goal of the replantation is to maintain and treat the periodontal tissue and alveolar contour, and thus retain the dentition for esthetic condition.
Objective: To find out the effectiveness of replantation for preserving avulsion of tooth.
Case Report: A 42-year-old woman was referred to Universitas Gadjah Mada Dental Hospital with avulsed secondary mandibular incisor (32) after a motorcycle accident that had taken place the night before. The patient was traumatized for more than 12 hr. Based on the clinical examination, tooth 32 was avulsed. Radiographic examination showed no bone fracture. Root canal treatment was performed, and then replantation was carried out, followed by splinting using archbar. Three months after replantation, clinical and radiographic examinations were performed.
Results: All mandibular incisors were in good condition. The patient showed good result, and even the replantation was done by exceeding the golden period time. The patient was instructed to maintain her oral hygiene.
Conclusion: Immediate treatment of avulsion tooth and the right procedure can affect the success of the treatment. From this viewpoint, replantation is one of the appropriate treatments for preserving avulsion of tooth.
Keywords: avulsed tooth, replantation, splinting
References
[1] Torabinejad M, Walton RE, Fouad AF. Endodontics: Principles and practice. 5th ed. Missouri: Elsevier Inc.; 2015.
[2] Tezel H, Atalayin C, Kayrak G. Replantation after traumatic avulsion. Eur J Dent 2013;7:229-32.
[3] Garg N, Garg A. Textbook of endodontics. New Delhi: Jaypee Brothers Medical Publisher Ptd. Ltd.; 2014.
[4] Ingle JI, Bakland LK, Baumgartner JC, Ingle JI. Ingle’s endodontics. Hamilton: BC Decker; 2008.
[5] Hargreaves KM, Berman LH. Cohen’s pathway of the pulp. 11th ed. Missouri: Elsevier; 2010.
[6] Andersson L, Andreasen JO, Heithersay G et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: Avulsion of permanent teeth. Dental Traumatology. 2012;28:88-96.
[7] Nene KS, Bendgude V. Prognosis of replanted avulsed permanent incisors: A systematic review. International Journal of Pedodontic Rehabilitation Int J. 2018;3:87- 98.
[8] Resende KKM, Faria GP, Longo DL, Martins LJO, Costa CRR. In vitro evaluation of plants as storage media for avulsed teeth: A systematic review. Dental Traumatology. 2019;36(1):1-16.
[9] Bhat P, Khrisnamurthy N. Advances in storage media for avulsed tooth: A review. International Journal of Preventive and Clinical Dental Research. 2015;2(7):1-7.
[10] Nabi S, Kavikumar V, Tahir A. Storage media for avulsed tooth – A review. European Journal of Biomedical and Pharmaceutical Sciences. 2018;5(9):130-3.
[11] Hegde S, Roma EM. Current developments in transport media for avulsed teeth: An update. Asian Journal of Pharmaceutical and Clinical Research. 2017;10(2):43-6.
[12] Yiu S, Cheng AC. Replantation of an avulsed incisor after prolonged dry storage: A case report. Journal of the Canadian Dental Association. 2002;68(5):297-300.
[13] Mclntyre JD, Lee JY, Trope M, Vann WF. Permanen tooth replantation following avulsion: Using a decision tree to achieve the best outcome. Pediatric Dentistry. 2009;31:137-44.
[14] Marantson N. Penggunaan arch bar pada fraktur dentoalveolar. Majalah Biomorfologi. 2019;29(1):13-20.