Considerations on the clinical approach and sequelae after late replantation

Admin Dental Press

Edition V07N01 | Year 2017 | Editorial Original Article | Pages 66 to 70

Marcos Sergio Endo, Izabela Volpato Marques, Fernanda Chiguti Yamashita, Nair Narumi Orita Pavan

Introduction: Tooth avulsion is a severe injury. Management of teeth and soft tissues affected during and after replantation is important utmost importance to obtain a favorable prognosis. Objective: This study aimed to discuss the conduct of late replantation, based on a case report, and suggest other therapeutic approaches. Case report: Female 9-year-old patient suffered avulsion of tooth #11 which was kept dry for two hours. Replantation of tooth #11 was performed followed by flexible retention for 15 days. The tooth showed a positive response to pulp sensitivity test for five months. Subsequently, we started endodontic treatment with ten periodic changes of calcium hydroxide-based intracanal medication combined with propylene glycol. Clinical and radiographic control, carried out after six months, revealed replacement root resorption, which remained in place for three years. Conclusion: Although late replantation is a treatment option, other clinical approaches should be studied and considered to minimize future sequelae.

Endodontics, Dental trauma, Root resorption,

Endo MS, Marques IV, Yamashita FC, Pavan NNO. Considerations on the clinical approach and sequelae after late replantation. Dental Press Endod. 2017 Jan-Apr;7(1):66-70. DOI: http://dx.doi.org/10.14436/2358-2545.7.1.066-070.oar

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