Delayed replantation of avulsed tooth with 4½ days extraoral time with 18 months follow up

Delayed replantation of avulsed permanent maxillary central incisor: Case report with 6‐year follow‐up

“…Apart from cultured PDL cells, PDL stem cells, bone marrow mesenchymal stem cells, adipose-derived stem cells, and other induced pluripotent stem cells have shown favorable results in reestablishing the formation of PDL cells. 24 Different literatures have presented cases in which delayed replantation had been attempted, [6][7][8][25][26][27][28][29][30][31] but most of them being <72 h of extraoral dry time, and the replanted teeth serving its function for years. 6,7,[25][26][27][28][29][30][31][32][33][34] Storage medium enhances the healing outcome of the replanted teeth.…”

“…1 Numerous literatures have been published about replantation of an avulsed tooth, but literature reporting replantation after more than 72 h of avulsion with follow-up of more than 5 years are scarce. [6][7][8] The present case report showcases the delayed replantation of a permanent maxillary central incisor after 72 h of avulsion where the avulsed tooth was stored in a dry field before replantation. Clinically, the replanted tooth was asymptomatic till 5-year follow-up visit, but there was presence of pinkish discoloration and slight infraposition on the 6-year follow-up visit.…”

“…Where immediate replantation is not feasible, the extra‐alveolar conditions can be modified by storing the avulsed tooth in a physiological storage medium 1 . Numerous literatures have been published about replantation of an avulsed tooth, but literature reporting replantation after more than 72 h of avulsion with follow‐up of more than 5 years are scarce 6–8 …”

Successful outcome of permanent maxillary incisor reimplanted after 30 hours of extra‐oral time—a case report with 5‐year follow‐up

“…It had been placed as an intermediate intracanal medicament instead of triple antibiotic paste or definitive obturation. Mineral trioxide aggregate (MTA) due to its favorable material characteristics and properties similar to calcium hydroxide is being proposed as a potential single‐visit root canal filling material for delayed reimplanted teeth 12,13 . Biodentine is a dentinal substitute formulated using active biosilicate (ABS) cement‐based technology having efficacy equivalent to MTA and the potential to overcome the drawbacks of both calcium hydroxide and MTA as root canal filling materials 23 .…”

“…Mineral trioxide aggregate (MTA) due to its favorable material characteristics and properties similar to calcium hydroxide is being proposed as a potential single-visit root canal filling material for delayed reimplanted teeth. 12,13 Biodentine is a dentinal substitute formulated using active biosilicate (ABS) cement-based technology having efficacy equivalent to MTA and the potential to overcome the drawbacks of both calcium hydroxide and MTA as root canal filling materials. 23 BioRoot RCS incorporates the same ABS technology and is recommended to be used as a root canal sealer with a single cone or cold lateral condensation method.…”