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Apexification of a replanted tooth using mineral trioxide aggregate
Paula Villa1, Rafael Fernández
1Endodontics department of Universidad de Antioquia, Medellin, Columbia. paulavilla@epm.net.co
Summary
Successful periodontal healing occurred in an avulsed immature tooth after a 20-minute dry extra-alveolar period. Mineral trioxide aggregate was used for root filling, confirming complete periradicular healing.
Area of Science:
- Dentistry
- Periodontology
- Endodontics
Background:
- Tooth avulsion requires prompt management for optimal outcomes.
- Periodontal healing is influenced by extra-alveolar time and storage media.
Observation:
- An immature avulsed tooth was replanted after 20 minutes of dry extra-alveolar time.
- Tooth vitality was not regained post-replantation.
Findings:
- Adequate periodontal healing was achieved despite the prolonged dry period.
- Mineral trioxide aggregate (MTA) was used for root canal disinfection and filling.
- Complete periradicular healing was confirmed on follow-up.
Implications:
- This case suggests that favorable periodontal healing is possible even after significant dry avulsion time.
- Mineral trioxide aggregate may be a suitable root filling material in non-vital avulsed teeth.
- Further research into factors promoting periodontal healing after avulsion is warranted.