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Root surface conditioning in closed apex avulsed teeth: a clinical concept and case report
Lin Shaul1, Emodi Omri, O Zuckerman
1Endodontics and Dental Trauma Unit, Department of Oral and Dental Medicine, Rambam Medical Center, Haifa, Israel. sh_lin@rambam.health.gov.il
Summary
Topical doxycycline application on avulsed teeth, even those with closed apices, can prevent resorption. This treatment promotes healing and preserves the periodontal ligament, offering a promising approach for dental trauma management.
Area of Science:
- Dentistry
- Oral Surgery
- Regenerative Medicine
Background:
- Avulsed teeth with open apices benefit from topical doxycycline to reduce resorption.
- Doxycycline, a tetracycline derivative, exhibits antibacterial and anti-inflammatory properties.
- Its efficacy in mitigating inflammatory and replacement resorption post-dental trauma is established.
Observation:
- A case study involved reimplanting an avulsed closed apex tooth treated with topical doxycycline.
- The tooth was conditioned with topical doxycycline before socket reimplantation.
- Clinical and radiographic assessments were conducted post-reimplantation.
Findings:
- At 16-month follow-up, the patient showed no clinical signs or symptoms of complications.
- Radiographic evaluation revealed only minor superficial root surface resorption.
- The periodontal ligament (PDL) remained intact, indicating successful healing.
Implications:
- Topical doxycycline treatment is a viable and recommended procedure for avulsed closed apex teeth.
- This approach may enhance healing outcomes and reduce long-term complications in dental avulsion cases.
- Further research could explore optimal doxycycline concentrations and application protocols for various dental trauma scenarios.