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Delayed replantation: can it be a success?
A Parolia1, M Kundabala, N Shetty
1Department of Conservative Dentistry adn Endodontics, Manipal College of Dental Sciences, Mangalore, Karnataka, India. paroliaabhi@yahoo.com
Kathmandu University Medical Journal (KUMJ)
|June 2, 2009
Summary
Delayed replantation of an avulsed maxillary central incisor is a viable treatment option. One-year follow-up confirmed successful healing without tooth resorption, demonstrating the efficacy of timely intervention.
Area of Science:
- Dentistry
- Oral Surgery
- Endodontics
Background:
- Dental avulsion, particularly of permanent incisors, presents significant treatment challenges.
- Delayed replantation requires careful management to preserve tooth vitality and prevent complications.
Observation:
- A 17-year-old male sustained a fall, resulting in the avulsion of his maxillary central incisor.
- The avulsed tooth was replanted 24 hours post-injury after undergoing extra-oral root canal treatment.
Findings:
- One-year follow-up revealed no signs of external or internal root resorption in the replanted maxillary incisor.
- The tooth remained vital and functional, indicating successful osseointegration and periodontal ligament healing.
Implications:
- This case highlights the potential for successful delayed replantation of avulsed permanent incisors, even after a significant extra-oral time.
- Extra-oral root canal treatment prior to delayed replantation may be a critical factor in achieving favorable long-term outcomes.
- Further research into optimal protocols for delayed avulsed tooth replantation is warranted.
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