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Related Experiment Videos

Replantation in general dental practice

N K Sharma1, M S Duggal

  • 1Division of Child Dental Health, Leeds Dental Institute.

British Dental Journal
|February 19, 1994
PubMed
Summary

Proper storage and prompt replantation of avulsed teeth significantly impact long-term outcomes. Immediate replantation and storage in saliva prevent root resorption, unlike dry storage and delayed treatment.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Dental Traumatology

Background:

  • Dental avulsion, often caused by sports injuries, requires immediate and appropriate management to preserve tooth vitality.
  • Replantation success is influenced by extra-alveolar dry time and storage medium.
  • Current literature guides avulsed tooth management protocols.

Observation:

  • Two cases of dental avulsion replantation were reviewed over five years.
  • Case 1: Tooth stored dry with prolonged extra-alveolar time and splinting resulted in replacement root resorption.
  • Case 2: Tooth stored in saliva, replanted within 45 minutes, showed no resorption after five years.

Findings:

  • Optimal storage medium (saliva) and rapid replantation are critical for preventing replacement root resorption.
  • Prolonged dry storage and delayed treatment significantly increase the risk of avulsed tooth failure.
  • Long-term splinting may not be beneficial and could potentially contribute to resorption.

Implications:

  • Evidence supports immediate replantation protocols for avulsed teeth.
  • Dental practitioners should prioritize patient education on emergency tooth avulsion management.
  • A standardized protocol for managing avulsed teeth can improve long-term prognosis and reduce complications like root resorption.

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