Combination of Revascularization and Apexification in the Treatment of an Avulsed Tooth: A Case Report

Abulhamael, Ayman M; Zweig, Stefan; Kutbi, Abrar S; Alrehili, Rayan S; Alzamzami, Ziyad T; Alharbi, Yousef

doi:10.5005/jp-journals-10024-2830

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…The apex in this case is not fully closed. Revascularization, which occurs without the intervention of growth factors or stem cells, is the process of restoring the vascular supply to the pulp-dentin complex by inducing bleeding into an empty root canal area, much like a blood clot repairs from surgical treatment [11]. Cell homing plays a significant part in this procedure.…”

Section: Discussionmentioning

confidence: 99%

Management of Avulsion tooth within golden period in young permanent tooth

Dimas Surya Saputra,

Rosiana Dewi Prayogo,

Putri Andarini

et al. 2024

World J. Adv. Res. Rev.

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Introduction: Tooth avulsion is described as a displacement of the tooth from its socket. It may occurs due to trauma and most often involves the maxillary teeth. Numerous studies have shown that this injury is one of the most serious dental injuries, so prompt and correct emergency management is essential for attaining the best outcome after this injury. Factors that determine healing after replantation are media storage, periodontal tissue damage, extra-alveolar period and intact alveolar socket. Case History: A 11-years-old male patient was referred from Puskesmas Perak to the Department of Paediatrics Dentistry at RSKGM-P Airlangga Surabaya with complaints that his upper tooth was off from its socket. The incident occurs after his head hit the table around 30 minutes ago. The patient had no history of systemic disease and didn’t have any allergic to food and medicine. The tooth was soaked on normal saline. Discussion: The optimal treatment option following an avulsion injury is to replant avulsed tooth at the earliest. Appropriate emergency management, significant treatment plans, and prompt action influence good prognosis in the management of an avulsion injury. In the past, it was advised to perform root canal therapy extra-orally before replantation. However, the current guidelines recommend root canal therapy be performed intra-orally to minimizes the extra-oral time. After the replantation, we continue to observe the tooth every month to see the vitality, mobility, ankylosis and resorption. Conclusion: Replantation is the treatment of choice following avulsion to facilitates restorative therapy and quality of life.

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Section: Discussionmentioning

confidence: 99%

Management of Avulsion tooth within golden period in young permanent tooth

Dimas Surya Saputra,

Rosiana Dewi Prayogo,

Putri Andarini

et al. 2024

World J. Adv. Res. Rev.

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“…Splinting is specified as the Gold Standard [39] , since it will allow immobilization of the teeth in the initial period, which is essential for periodontal ligament repair. The use of semi-rigid splinting is more indicated than rigid splinting [4] , and it has also been documented that performing the revascularization procedure had benefits in immature teeth, since it allowed the tooth to develop both in length and dentin volume and helped in the partial closure of the apical foramen [40] . The use of antiresorption therapy should now be considered, as this is a new technique that prevents the common inflammation experienced by avulsed teeth after replantation, using a combination of antibiotics and corticosteroids [41] .…”

Section: Treatmentmentioning

confidence: 99%

An update on management of avulsed teeth

Martinez¹,

Treviño²,

Ramos³

et al. 2022

Int. J. Appl. Dent. Sci.

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Introduction: Avulsion of permanent teeth is one of the most serious dental injuries, prompt and correct emergency management is essential to achieve the best outcome after this injury. Objective: To analyze the literature on avulsed teeth, particularly its prevalence, storage media, consequences and treatment. Methodology: In order to carry out this literature review, an electronic search was necessary using PubMed and Google Scholar with the words avulsed tooth, and prevalence, storage media, treatment. Results: The prevalence of traumatic dental injuries is greater in male patients of school age. The most common treatment is reimplantation. The main adverse events are dental ankylosis and resorption. When immediate reimplantation is not possible, the most practical means of preservation is cow's milk, currently anti-reabsorption therapy is used to improve the prognosis in addition to the use of a semiflexible stabilizer. Conclusion:The treatment of choice for dental avulsion will always be reimplantation, whether immediate or delayed, regardless of how long the tooth is kept out of the mouth. Although there is no predictable prognosis, it does not mean that reimplantation should not be attempted, since the tooth will be of great importance in contributing to the mandibular and facial development of the child.

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Management of Root Fractures in Young Immature Permanent Teeth: Three Case Reports

Saraf,

Dhindsa,

Garg

et al. 2024

International Journal of Clinical Pediatric Dentistry

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A bstract Aim The aim of this case report is to present three different patients who had horizontal and vertical root fractures of young permanent teeth, its diagnosis, clinical and radiographic findings, treatment, and long-term follow-up and success rate. Background Root fractures are relatively rare with the prevalence of 0.5–7% in permanent and 2–4% in deciduous dentition. Timely intervention and accurate treatment procedures are the main concerns for long-term success of root fractures. Case description Case I and case II had horizontal fracture of immature permanent tooth. Patients reported with a chief complaint of pain in their upper central incisors. As a result of radiographic examination, horizontal root fractures were diagnosed. Teeth were treated with a mineral trioxide aggregate (MTA) plug (case I and case II) and repositioning and splinting (case II). Case III had vertical root fracture of immature permanent tooth. Tooth was treated with apexification (sectional obturation) and sealed with resin-modified glass ionomer cement (RMGIC) till the fracture site and flowable light cure restoration. Patients were scheduled for follow-up visits at different time intervals. Radiographic evidence indicated ongoing root development in these immature teeth. Normal color and mobility were observed, and no pain was noted during horizontal and vertical percussion tests. Conclusion The present case report shows a favorable and stable outcome of timely treatment and sound healing of various types of root fracture. Long-term follow-up of patients with trauma is essential because pathological changes can occur several years following injury. Clinical significance The latest treatment modalities and long-term follow-up showed clinical success. How to cite this article Dhindsa A, Garg S, Poddar P, et al. Management of Root Fractures in Young Immature Permanent Teeth: Three Case Reports. Int J Clin Pediatr Dent 2024;17(3):352–356.

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Combination of Revascularization and Apexification in the Treatment of an Avulsed Tooth: A Case Report

Cited by 3 publications

References 16 publications

Management of Avulsion tooth within golden period in young permanent tooth

Management of Avulsion tooth within golden period in young permanent tooth

An update on management of avulsed teeth

Management of Root Fractures in Young Immature Permanent Teeth: Three Case Reports

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