[Avulsed teeth. A case study]

A clinical case of exarticulation and replantation served to discuss recent insights regarding the treatment of total avulsions of permanent teeth. A flow chart representing all treatment options is given. The tooth has been replanted in near ideal conditions; within one hour after the avulsion, the young patient attended the dental school with his avulsed tooth stored in milk. After replantation, a very simple splint was applied for only a fortnight and a provisory endodontic therapy with calcium hydroxide was performed. Adequate oral hygiene measures supported with chlorhexidine gel were instructed. These promote the healing process and ultimately also contribute to a long-term survival of the replanted tooth. After healing, a permanent root canal filling was applied and the crown was restored by means of composite material. The one-year- follow up check did not show any sign of resorption and/or ankylosis.