Tooth avulsion in children: to replant or not

Nigerian Journal of Clinical Practice, 2013

Two cases of reimplantation of avulsed teeth that occurred after 72 hours are reported. The two patients were male and female aged 13 and 24 years, respectively. The avulsed teeth were not placed in any storage medium for the duration they were out of the mouth and there was no periodontal ligament remaining on their root surfaces before the reimplantation. The teeth in these two patients are still firm without complications after 7 and 17 months. We suggest that the procedures adopted in treating these case should be used by clinicians in treating carefully selected cases that match the cases presented in this paper, which may present to them in their clinics.

Journal of Pediatric Dentistry, 2016

One of the most seen complications after replantation in avulsed teeth is root resorption. [2,10,11] Root resorptions are seen in about 50-76% of the cases and they are considered to be associated with storage conditions of the tooth and the period of tooth staying out of alveolar socket. [4,10,12,13] As a result of long-term storage of a tooth in nonphysiological conditions, periodontal ligamentum necrosis, and replacement resorption is inevitable. [2,4,7,12] Alveolar bone formation after periodontal tissue necrosis and root resorption results in ankylosis (replacement resorption). Ankylosis in young individuals may cause infraocclusion due to continuing growth. [4,11,13] In case, there is infected

Dental Traumatology, 2005

Replantation of 45 avulsed permanent teeth: a 1-year follow-up study Dental Traumatology 2005; 21: 289-296 All rights reserved Copyright Ó Blackwell Munksgaard 2005 DENTAL TRAUMATOLOGY 289 Chappuis V, von Arx T. Replantation of 45 avulsed permanent teeth: a 1-year follow-up study. Dent Traumatol 2005; 21: 289-296. Ó Blackwell Munksgaard, 2005.

2016

Tooth avulsion is the most serious dental injury that affects the pulp tissue, periodontal ligament and the alveolar bone. It is more frequent in children aged 7-14 years and mostly the maxillary anterior teeth are affected. Management of avulsed permanent tooth often presents a challenge. Replantation of avulsed tooth can be defined as the insertion and temporary fixation of avulsed tooth that have resulted by traumatic injury. The prognosis of replantation is directly related to few parameters like physiological status of periodontal ligament, extraoral handling of affected tooth, stage of root development, length of extaoral dry time and lastly the proper storage medium. This case report presents a case of delayed replantation of avulsed tooth after extended dry storage period.

International Journal of …, 2011

Management of tooth avulsion in the permanent dentition often presents a challenge. Avulsion is serious injury cause damage to dental and supportive tissues, ranges from 1-16 % among dental injuries and it mostly occurs in maxillary incisors. Definitive treatment planning and consultation with specialists is seldom possible at the time of emergency treatment. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. This article describes the management of a female patient with an avulsed maxillary permanent incisor that had been air-dried for about 7 days.

SciDoc Publishers, 2021

A 9-year-old girl visited Dental Clinic in Jakarta with her mother because her upper left front tooth was avulsed while in the swimming pool. The mother carried the child's tooth in a plastic bag. Clinical examination showed that: the maxillary left central incisor was totally avulsed and the socket showed that there was little bleeding and the condition of the front tooth was protrusive with an overjet of approximately 11 mm. She has class 1 type 2 mal-Abstract Introduction: Dental avulsion is the complete traumatic displacement of a tooth from the socket. Treatment of dental avulsion replantation should be done immediately but cases of delayed replantation can still be done. Case Report: Two children, both were 9 years old, had an avulsion of maxillary left central incisor with prolonged extraoral dry time. Treatment guideline for avulsed immature permanent tooth with prolonged extraoral dry time was carried out, then the endodontic treatment was performed extraorally and MTA was used to close the open apex. Wire with composite was used on case I, whereas fibre reinforced composite was used on case II. Replacement resorption was seen on radiograph but booth teeth remained in a stable and funcional position. Discussion: On delayed replantation, the endodontic treatment may be done prior to replantation or after the replantation. MTA can be used to coated the root tip. It is suggested to use semi-rigid splinting on dental avulsion case. Although the prognosis of delayed replantation cases is uncertain, the goal of this treatment is to preserve the surrounding teeth and bone for several years. Conclusion: Delayed replantation was still carried out in these cases to maintain aesthetic function, occlusion function, and to prevent the resorption of alveolar bone.

Anatomical Sciences Journal, 2017

This is a case of delayed replantation of avulsed maxillary central incisor after an extended dry extra-alveolar period. A 10-year-old boy presented with avulsed maxillary central incisor after a fall that resulted in dental trauma, occurring 18 hours earlier. Treatment guidelines for avulsed mature permanent teeth with prolonged extraoral time were carried out for the teeth and the extraoral endodontic treatment was completed. After having been repositioned, the tooth was stabilized for 6 weeks and prophylactic antibiotic was prescribed. Clinical and radiographic controls were done during the next 12 months. During the follow-up period, the tooth remained in a stable, functional position but revealed clinical initial replacement resorption and ankylosis.

Case reports in dentistry, 2015

This case report presents two cases of delayed replantation of avulsed maxillary central incisors after an extended dry extra-alveolar period. Eight-year-old boy and 10-year-old boy presented with avulsed maxillary central incisors due to trauma occurring 27 and 7 hours earlier, respectively. Treatment guidelines for avulsed mature/immature permanent teeth with prolonged extra-oral time were carried out for the teeth and the extra-oral endodontic treatment was completed. After having been repositioned, the teeth were stabilized for 4 weeks and prophylactic antibiotic was prescribed. Clinical and radiographic controls were done after 18 months for Case I and 12 months for Case II. During the follow-up periods the teeth reported in these cases have remained in a stable, functional position but revealed clinical initial replacement resorption and ankylosis.

2016

Trauma to the oral region occurs frequently. Among all facial injuries, dental injuries are most common of which avulsion occurs in 1-16%.of all dental injuries. It is the serious of all dental injuries [1]. Dental avulsion is consequences of injury that results in the complete displacement of a tooth from its alveolar socket and may affect multiple tissues .Trauma to the anterior teeth is the most prevalent with sports and automobile accidents the most frequent cause. Avulsion of permanent teeth occurs at any age, but is most common in young permanent dentition with higher prevalence in males [2]. This is because the root is still not completely formed and the periodontium and bone are very resilient [3]. DTI is an injury that results from an external force, involving the teeth, the alveolar portion of the maxilla or mandible, and the adjacent soft tissues [1-5]. When dental avulsion occurs, immediate replantation at the trauma site is the ideal procedure for maintaining the viability of PDL cells. However, immediate replantation is rarely achieved [6]. It presents a unique challenge to the clinician, it is the treatment of choice but it cannot always be carried out immediately [2]. The delayed replant is characterized by the absence of minimum conditions for survival of the cells, with the maintenance of the tooth in ways of storage that does not take care of to the cellular necessities of nutrition, osmolality, pH and temperature [7,8]. As a treatment of the avulsed tooth, replantation is the method which can restore occlusal function and esthetic appearance shortly after injury [9, 10]. Hence this paper presents a case report where the tooth was replanted after 4 days.

Australian Dental Journal, 1975

ASSTRACT-Time is a critical factor in SUCCessfUl replantation. The avulsed tooth is simply washed and replaced immediately. Where contamination with soil occurs anti-tetanus prophylaxis is given and some form of splinting is necemry for 3-4 weeks. Endodontic therapy is performed prior to replacement if there is a delay of more than two hours and where apex formation is complete it should be commenced within 10 days. Calcium hydroxide is useful as,a root canal dressing and in controlling resorption. The value of immediate replacement and treatment should be publicised.