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Instant Re-Implantation of Avulsed Teeth.
Smita Paul1, Sambarta Das2, Nirmal Debbarma1
1Department of Pedodontics and Preventive Dentistry, Agartala Government Dental College and IGM Hospital, Tripura, India.
Journal of Pharmacy & Bioallied Sciences
|February 10, 2025
Summary
Immediate management of avulsed teeth in children is crucial. Prompt re-plantation, extra-oral root canal therapy, and splinting significantly improve healing and prognosis for traumatic dental injuries.
Area of Science:
- Dentistry
- Pediatric Dentistry
- Endodontics
Background:
- Avulsed teeth require immediate management for successful re-plantation.
- Traumatic dental injuries, like tooth avulsion, are common in children.
- Timely intervention is key to preserving the tooth and surrounding tissues.
Purpose of the Study:
- To highlight the effective treatment of a pediatric tooth avulsion case.
- To emphasize the importance of prompt management and re-plantation protocols.
- To demonstrate favorable outcomes following timely intervention and root canal therapy.
Main Methods:
- A case report of a 9-year-old boy with an avulsed maxillary central incisor.
- The avulsed tooth was stored in normal saline and treated with extra-oral conventional Root Canal Therapy (RCT).
- Re-plantation followed International Association of Dental Traumatology (IADT) guidelines, with stabilization via splinting.
Main Results:
- The patient reported within 30 minutes of the avulsion injury.
- Extra-oral RCT was performed, followed by re-plantation and splinting.
- The treatment approach promoted faster periapical healing and a better prognosis.
Conclusions:
- Rapid re-plantation of avulsed teeth is critical for successful outcomes.
- Adherence to IADT guidelines and appropriate splinting are essential.
- A combination of prompt management, extra-oral RCT, and splinting leads to optimal healing and prognosis in pediatric dental avulsions.

