Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.

External root resorption management of an avulsed and reimplanted central incisor: a case report / Di Giorgio, G.; Salucci, A.; Sfasciotti, G. L.; Iaculli, F.; Bossu, M.. - In: DENTISTRY JOURNAL. - ISSN 2304-6767. - 9:6(2021). [10.3390/dj9060072]

External root resorption management of an avulsed and reimplanted central incisor: a case report

Di Giorgio G.
Primo
;
Salucci A.
Secondo
;
Sfasciotti G. L.;Iaculli F.
Penultimo
;
Bossu M.
Ultimo
2021

Abstract

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.
2021
dental trauma; root resorption; tooth avulsion; tooth reimplantation
01 Pubblicazione su rivista::01i Case report
External root resorption management of an avulsed and reimplanted central incisor: a case report / Di Giorgio, G.; Salucci, A.; Sfasciotti, G. L.; Iaculli, F.; Bossu, M.. - In: DENTISTRY JOURNAL. - ISSN 2304-6767. - 9:6(2021). [10.3390/dj9060072]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1571172
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