[Reimplantation of avulsed teeth].
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Avulsion of natural teeth caused by trauma may present an unusual problem for the general practitioner. Endodontic therapy and replantation of the tooth into the socket have a relatively low long-term prognosis because of internal or external root resorption. Dental implants can provide proper support and function for missing teeth with excellent esthetic results without preparation of natural dentition. In this case report, an implant system is used to restore an anterior space created by the loss of endodontically treated central and lateral incisors.
In dogs and cats, the most common causes of dental injury are fights with other animals, car accidents, falls from a height, and chewing on hard materials such as bones or rocks. The trauma more often causes fracture of the teeth, but sometimes avulsion or luxation can occur. Avulsion is the complete displacement of the tooth out of the alveolar socket and luxation is the partial displacement of the tooth. Tooth luxation and avulsion represent dental emergencies. Time is an important factor for successful treatment; the prognosis becomes poorer the longer the tooth is out of the socket. This paper describes the guidelines for treatment of dental displacement in cats and dogs and presents six cases of dental lateral luxation in dogs seen at the Veterinary Hospital of the University of Pennsylvania (VHUP) in the period from May 1996 to September 1997.
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Occasionally, absolutely healthy teeth are traumatized to the extent that they must be extracted. The use of cylindrical endosseous implants as single-tooth replacements is gaining acceptance. The case of a healthy young adult who suffered a traumatic injury that rendered his maxillary left central and lateral incisors nonrestorable is reviewed.
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