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Case Reports
. 2022 Mar 16:2022:2081684.
doi: 10.1155/2022/2081684. eCollection 2022.

Management of 3 Avulsed Permanent Teeth: Case Report of a 3-Year Follow-up

Soukaina El Kharroubi  1 , Sofia Drouri  1 , Bouchra Doumari  1 , Sara Dhoum  1 , Hafsa El Merini  1
Affiliations
Case Reports

Management of 3 Avulsed Permanent Teeth: Case Report of a 3-Year Follow-up

Soukaina El Kharroubi et al. Case Rep Dent. .

Abstract

Dental avulsion is one of the most serious dental injuries. When the tooth is knocked out, the blood supply to the pulp is interrupted and the periodontal ligament cells are exposed to injuries caused by the external environment. In recent years, research findings have shown the possibility of complete healing under favorable conditions: replanting the tooth according to the criteria required by the guideline such as the extra oral time which should be very short, the time of pulp removal after replantation, and the appropriate storage medium. This set of criteria may lead to a slower progression of the phenomenon of resorption with a better prognosis over time; however, there is a high risk of complications such as external root resorption which lies in late replantation. The research results of many research-groups around the world have given us a better understanding of healing and complications. Nowadays, even teeth that are replanted after a delay can be saved. The dentist remains the key person in the case of dental trauma, namely, dental avulsion as his role is the management of the emergency situations. The objective of this case study is to present a successful management of 3 avulsed permanent incisors, replanted and remained with no complications for over a period of 3 years.

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Conflict of interest statement

The author(s) declare(s) that there is no conflict of interest regarding the publication of this article.

Figures

Figure 1
Figure 1
Intraoral view showing avulsion of teeth 11, 21, and 22.
Figure 2
Figure 2
Avulsed teeth conserved in milk for 60 minutes—intact teeth.
Figure 3
Figure 3
Preoperative panoramic radiograph showing empty sockets of 11, 21, and 22. No sign of fracture or contusion of the alveolar sockets.
Figure 4
Figure 4
Immediate replanted and splinted teeth 11, 21, and 22. A flexible splint stabilized teeth for 4 weeks.
Figure 5
Figure 5
1-week posttrauma.
Figure 6
Figure 6
Obturation canals after 3-months medication with replanted calcium hydroxide treatment.
Figure 7
Figure 7
4-week posttrauma.
Figure 8
Figure 8
18-month follow-up of teeth.
Figure 9
Figure 9
CBCT images—3 years after replantation.
Figure 10
Figure 10
No pathology and resorption. 3-year radiograph examination.
See this image and copyright information in PMC

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