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Post-traumatic complications of severe luxations and replanted teeth
Thiago Farias Rocha Lima1, Juliana Yuri Nagata2, Francisco José de Souza-Filho3
1Professor Department of Restorative Dentistry, Endodontics Area Federal University of Paraíba, João Pessoa, Paraiba, Brazil Phone: 982226564,
The Journal of Contemporary Dental Practice
|April 17, 2015
Summary
Pulp necrosis is the most common complication in replanted teeth after severe luxation injuries. Delaying dental treatment significantly increases the risk of inflammatory resorption, worsening the tooth
Area of Science:
- Dental Traumatology
- Oral Surgery
- Endodontics
Background:
- Severe dental luxations and avulsions often necessitate tooth replantation.
- Post-traumatic complications can compromise the long-term survival of replanted teeth.
- Understanding complication patterns is crucial for effective patient management.
Purpose of the Study:
- To evaluate the primary post-traumatic complications in severe luxation and replanted teeth.
- To analyze the influence of treatment delay on complication development.
Main Methods:
- Clinical and radiographic analyses of 180 traumatized teeth in 83 patients (ages 7-55).
- Follow-up period of 24 months.
- Evaluation of pulp canal obliteration, pulp necrosis, and root resorption (inflammatory and replacement).
Main Results:
- Pulp necrosis occurred in 82.7% of cases, significantly higher in intrusive luxation and avulsion.
- Inflammatory root resorption was observed in 20.5% of cases.
- Patients seeking treatment after 9 weeks had a 10-fold increased risk of inflammatory resorption.
Conclusions:
- Pulp necrosis is the predominant complication following severe luxation and replantation.
- Delayed treatment significantly impairs the prognosis for traumatized and replanted teeth.
- Prompt dental care is essential for managing complications and preserving teeth.
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