V08N03 | 2018 | Case Report | Pages 82 to 89
Vanessa Cruz Silva Fernandes, Monize Ferreira Figueiredo de Carvalho, Suelleng Maria Cunha Santos Soares, José Cristiano Ramos Glória, Janir Alves Soares
Maxillofacial Injuries; Tooth Avulsion; Tooth Injuries; Tooth Resorption
Currently, determining therapeutic strategies for improving the prognosis of delayed replantation of teeth that have been inadvertently stored in a dry environment is a challenge. A 22-year-old patient sought dental care three days after the avulsion of tooth 8. Mechanically, the root surface was carefully scraped with periodontal curettes and was chemically treated with 5.25% sodium hypochlorite followed by 17% EDTA. Following extraoral treatment and chemomechanical preparation, the root canal was filled with calcium hydroxide paste. The patient did not attend all follow-ups. After 102 months, tooth maxillary right central incisor was clinically functional but ankylosed. There was palatal periodontal pocket measuring 5 mm in depth and purulent exudate. Radiography revealed advanced external root resorption. After periodontal treatment, the root canal was dressed with calcium hydroxide paste and subsequently was filled with MTA. At follow-up after 18 months, root resorption had stabilized. Experimentally, an extracted tooth stored under identical conditions received similar root surface treatment. With scanning electron microscopy, the root surface showed a high degree of cleanliness with patent dentinal tubules, suggesting favorable root permeability. The root surface treatment and intracanal dressing enabled the preservation of the avulsed tooth after delayed replantation, with satisfactory function and aesthetics for approximately a decade.
Fernandes VCS, Carvalho MFF, Soares SMCS, Glória JCR, Soares JA. Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade. Dental Press Endod. 2018 Sept-Dec;8(3):82-9. DOI: https://doi.org/10.14436/2358-2545.8.3.082-089.cre