Delayed Replantation after Endodontic and Fluoride Treatment: A 5-Year Follow-up

Chalakkal, Paul; Thomas, Abi Mathew; Akkara, Francis; Fernandes, Kristlee Sabrin
September 2011
International Journal of Clinical Pediatric Dentistry;Sep-Dec2011, Vol. 4 Issue 3, p228
Academic Journal
Aim: To evaluate if endodontic and fluoride treatment of the root before delayed replantation would render the tooth a favorable prognosis. Methods: A 10-year-old boy reported 10 hours after he had avulsed his maxillary right permanent central incisor. The pulp and PDL cells were considered to be nonviable. Endodontic treatment for the tooth was performed extraorally and obturated with gutta-percha. Prior to replantation, the root was treated with 1.23% APSF for 15 minutes. Result: An intraoral radiograph taken 6 months after replantation revealed narrowing of the PDL space around the replanted tooth due to apposition from the surrounding alveolar bone. A radiograph taken 5 years after replantation revealed no evidence of external root resorption. There was no abnormal mobility either. Conclusion: Extraoral endodontic treatment and root treatment with 1.23% APSF prior to delayed replantation might prevent the occurrence of external root resorption.


Related Articles

  • Delayed Replantation of Avulsed Teeth -A Case Report. Prasad, B. S. Keshava; Praveen, P. // Indian Journal of Dental Sciences;Jun2011, Vol. 3 Issue 2, p26 

    Management of Avulsed teeth often presents a challenge to the clinician. Avulsed teeth need to be replanted at the earliest in order to restore esthetic appearance and occlusal function. However, the long term survival of replanted avulsed teeth is low due to ankylosis and root resorption. This...

  • REATTACHMENT. Logani, Ajay; Mishra, Navin // Guident;2012, Vol. 5 Issue 4, p28 

    Traumatic injuries to anterior teeth are quite common along all age group resulting in multitude of problems from simple crown infarctions to avulsion of teeth. According to statictical analysis, one out of every four people suffers from such injuries below the age of eighteen years. This...

  • Intentional extraction and replantation: The last resort. Abdurahiman, V. T.; Jolly, Sanju John; Khader, M. Abdul // Journal of the Indian Society of Pedodontics & Preventive Dentis;Jul-Sep2013, Vol. 31 Issue 3, p205 

    The importance of the first molar in the development of occlusion is well-known. The difficulties when first molar is not there during the eruption of the second molar and the premolar don't have to be explained much. The construction of a space maintainer in the area of missing first molar is...

  • Permanent Tooth Replantation Following Avulsion: Using a Decision Tree to Achieve the Best Outcome. McIntyre, Judy D.; Lee, Jessica Y.; Trope, Martin; Vann Jr., William F. // Pediatric Dentistry;Mar/Apr2009, Vol. 31 Issue 2, p137 

    An avulsion injury is a challenge to manage and there are many treatment options to consider to obtain the best prognosis depending on the avulsion scenario. In 2001, Lee et al published decision analysis paradigms for the management of avulsed permanent teeth to provide busy clinicians with...

  • Delayed Reimplantation: A Case Report. Harris, Anoop; Reshmi, J.; George, Sageena; Issac, Jyothi Sumi // Journal of International Oral Health;2014, Vol. 6 Issue 5, p104 

    A 12-year-old boy reported to the clinic with a history of trauma, whereas playing 1 day before. On examination it was noted that the patient had an avulsed tooth in relation to 11, Class III fracture in relation to 12 and Class II fracture in relation to 21. The avulsed tooth was brought by the...

  • Intentional replantation of periodontally compromised hopeless tooth. Nagappa, G.; Aspalli, Shivanand; Devanoorkar, Archana; Shetty, Sudhir; Parab, Prachi // Journal of Indian Society of Periodontology;Sep-Oct2013, Vol. 17 Issue 5, p665 

    Aesthetic considerations have influenced the management of dental maladies in varying degrees for many years. Even single tooth mal-alignment makes the patient to approach a dentist. Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by...

  • Replantation of Mature Teeth Without Endodontics in Monkeys. NASJLETI, CARLOS E.; CAFFESSE, RAUL G.; CASTELLI, WALTER A. // Journal of Dental Research;Apr1978, Vol. 57 Issue 4, p650 

    The purpose of this study was to evaluate the histologic response after replantation of mature, developed teeth without endodontic treatment in monkeys. To serve as experimental controls, the other replanted teeth received endodontic treatment. No significant differences were noted in the rate...

  • Dentigerous Cyst in a young child: Clinical Insight and A Case report. Hegde, R. J.; Khare, S. S.; Devrukhkar, V. N. // Journal of the Indian Society of Pedodontics & Preventive Dentis;Jul-Sep2013, Vol. 31 Issue 3, p209 

    A dentigerous cyst or follicular cyst is an odontogenic cyst -- thought to be of developmental origin -- associated with the crown of an unerupted tooth. Such cyst remain initially completely asymptomatic unless when infected. The purpose of this case report was to describe the diagnosis and...

  • Indications and Case Series of Intentional Replantation of Teeth. Asgary, Saeed; Marvasti, Laleh Alim; Kolahdouzan, Alireza // Iranian Endodontic Journal;2014, Vol. 9 Issue 1, p71 

    This case series aims to comprehensively introduce intentional replantation with a focus on its indications and case selection in endodontics. In all represented cases, calcium enriched mixture (CEM) cement is used for root-end filling. This case series demonstrates twenty cases of IR and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics