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Avulsed teeth.

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Adolescent↗

The use of pre-implantation tooth lengths in the treatment of avulsed teeth.

This study examines the significant difference between clinical and radiographic root lengths taken using paralleling technique at various degrees of angulation. Seventeen extracted maxillary central incisors were measured and compared to clinical and radiographic root lengths obtained by using paralleling technique at various angulations. This result supports the importance of measuring the actual root lengths of the avulsed teeth before re-implantation, in order to improve the success rate of the endodontic management phase.

Child↗

Management of an avulsed deciduous incisor. Report of a case.

The avulsed primary tooth poses problems in its treatment and management. This case report on the long-term management of an avulsed deciduous incisor produced some diagnostic findings. Reattachment of the periodontal fibers occurred after 2 weeks of splinting. The normal eruption pattern was not delayed and secondary spacing occurred. Turner's hypoplasia occurred on the succedaneous tooth, but it was minimal. Replantation of avulsed deciduous teeth should be considered as a treatment modality under ideal conditions.

Child, Preschool↗

A study of replanted permanent teeth in different age groups.

The purpose of this study was to evaluate the benefits of replanting avulsed permanent teeth in different age groups. Of the 112 replanted teeth, 103 could be examined after 2.5 years on average. The teeth were divided into three groups: immature teeth (group A), mature teeth in children and adolescents (group B), and mature teeth in adults (group C). Concomitant injuries did not differ statistically between the groups. Extra-alveolar time with unphysiologic storage was longer than 15 min in 81 teeth. The results were statistically different for pulpal healing (A >> B > C), loss of marginal bone (C > A), amount of replacement resorption (A and B > C), alveolar growth inhibition (A > B >> C), local gingivitis (B > A and C) and buccal gingival retraction (C > A and B). Only 3 of 23 extracted teeth were lost because of replacement resorption alone. Only 2 of the 23 extracted teeth showed revascularization of the pulp. The results suggested that replanting avulsed teeth should be considered a temporary solution in children and adolescents. In these patients, the benefit of tooth replantation is mainly the time gained to establish an optimal treatment plan. Mature teeth with a necrotic periodontal ligament replanted in children before the pubertal growth spurt seemed to have the poorest prognosis.

Adolescent↗

Treatment of avulsed teeth with Emdogain--a case report.

The present case report describes the reimplantation of avulsed teeth with the treatment of Emdogain. Case was avulsed right maxillary permanent central and lateral incisor in a 9-year-old girl suffering from a traumatic injury. After pretreatment of avulsed teeth, Emdogain was applied to the root surface and into the extraction socket with subsequent replantation of the tooth. Evaluation parameters included horizontal and vertical percussion sound and periapical radiographs. At 1-2-6-12-month follow-up period, the clinical and radiographic appearance of the teeth showed resolution of mobility and no signs of replacement resorbption.

Child↗