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The multidisciplinary management of avulsed teeth: a case report
Adriana de Jesus Soares1, Maíra do Prado, Thiago Farias Rocha Lima
1Department of Restorative Dentistry, Endodontics Area, State University of Campinas-UNICAMP, Piracicaba, SP, Brazil.
Iranian Endodontic Journal
|November 7, 2012
Summary
This case study details managing avulsed teeth (11 and 21) in a 14-year-old girl three months post-trauma. Multidisciplinary treatment, including extraction and implant-supported prosthetics, achieved a favorable prognosis for dental trauma.
Area of Science:
- Dentistry
- Oral Surgery
- Prosthodontics
Background:
- Dental trauma, specifically tooth avulsion, requires timely and comprehensive management.
- Delayed treatment of avulsed teeth can lead to complications such as root resorption and loss of vitality.
Observation:
- A 14-year-old female presented with avulsed teeth 11 and 21, three months post-injury, with persistent semi-rigid splinting.
- Clinical examination revealed increased mobility and non-vitality of the avulsed teeth.
- Radiographic findings indicated inflammatory external root resorption in both teeth.
Findings:
- The initial replantation and splinting were insufficient to preserve the avulsed teeth.
- Inflammatory external root resorption was a significant complication, necessitating extraction.
Implications:
- Multidisciplinary treatment involving extraction, temporary and adhesive prostheses, and eventual implant surgery is crucial for favorable outcomes in complex dental trauma.
- This approach addresses root resorption and restores function and aesthetics in cases of delayed avulsed tooth management.
