The tooth is separated from the socket, mainly due to the tearing of the periodontal ligament that leaves viable periodontal ligament cells on most of the root surface fig. It is common knowledge that the prompt rescue and replantation of an avulsed tooth will enhance the probability of achieving a. Avulsion and replantation of primary teeth a feasible option. Pdf replantation of avulsed permanent anterior teeth. Tooth avulsion in the permanent dentition constitutes a dental emergency. In addition, due to the crushingscraping of the tooth against the socket. Avulsion and replantation of primary teeth a feasible option sonu acharya1, susant mohanty1, antarmayee panigrahi 1, bismay singh and amit khatri2 f acial trauma in children can result in fractured, displaced and avulsed teeth which can have a negative effect on childs appearance, psychology and function 1. Ideally, tooth should be replanted within five minutes after the injury, but in clinical practice, teeth are fre quently stored in unphysiological media and replantation is delayed 2. If the avulsed tooth has been in contact with soil, and if tetanus coverage is uncertain, refer to physician for a tetanus booster.
Delayed replantation of avulsed teeth article pdf available in journal of indian society of pedodontics and preventive dentistry 25 suppl5. Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. To slow down osseous replacement of the tooth, treatment of the root surface with fluoride prior to replantation has been suggested 2 % sodium fluoride solution for 20 min. When a tooth is avulsed, attachment damage and pulp necrosis occurs. A 10yearold boy presented with avulsed maxillary central incisor after a fall that resulted in dental trauma, occurring 18. Replantation of the avulsed tooth restores aesthetics and occlusal function shortly after the injury. Therefore, loss of pulpal vitality could be considered to be an expected clinical finding in avulsed teeth 3. Guidelines for the management of traumatic dental injuries. Management of avulsed permanent teeth with closed apex tooth immediately replanted at accident site verify normal position of the replanted tooth both clinically and radiographically follow the same treatment guideline for extra oral dry time replantation step. Vol 26, no 2, 2004 mcintyre j, lee j, trope m, vann wj, permanent tooth replantation following avulsion. Current concepts in the replantation of avulsed teeth. This is a case of delayed replantation of avulsed maxillary central incisor after an extended dry extraalveolar period.
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