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CC BY-NC-ND 4.0 · European Journal of General Dentistry 2015; 4(03): 155-160
DOI: 10.4103/2278-9626.163342
Case Report

Multidisciplinary approach in the immediate replantation of a maxillary central incisor - A six and a half year follow-up

Cristina Braga Xavier
Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
,
Beatriz Farias Vogt
1   Department of Oral and Maxillofacial Surgery, School of Dentistry, PUCRS, Porto Alegre, Rio Grande do Sul, Brazil
,
Giselle Daer Faria
2   Department of Orthodontics, School of Dentistry, UNIARARAS, Araras, São Paulo, Brazil
,
Leandro Calcagno Reinhardt
Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
,
Elaini Sickert Hosni
Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
,
Josué Martos
3   Department of Semiology and Clinics, Faculty of Dentistry, University Federal of Pelotas, Pelotas, Brazil
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Abstract

This report proposes a discussion of the various peculiarities of a tooth 21 replantation in a 9-year-old patient and describes different treatment facets and a 6-year follow-up of the case. The splint was maintained for a 3-month period. After a 1½ year therapy with calcium hydroxide to control inflammatory resorption, the final canal obturation was performed 18 months after trauma with mineral trioxide aggregate. Two years after replantation, the orthodontic treatment had been initiated and 5 years after avulsion, whitening of tooth 21 was also done. Clinical and radiographic follow-up at regular intervals revealed that the treated tooth was still functional, showing normal mobility, resorption stabilization, and normal appearance of the bone tissue and lamina dura, testifying the treatment has been so far successful. The possibility of submitting avulsed teeth to other dental treatments once, there is close professional monitoring by controlling the risks and benefits of each therapy, as well as the patient′s cooperation, extra-oral time, and storage media for transport to the dentist among other details is emphasized.

Keywords

Ankylosis - mineral trioxide aggregate - tooth avulsion - tooth replantation


Publikationsverlauf

Artikel online veröffentlicht:
01. November 2021

© 2015. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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