Dental Pulp Revascularization in a Replanted Avulsed Immature Maxillary Permanent Central Incisor

Abstract

An 8-year-old girl sustained an accidental traumatic avulsion of her right maxillary permanent central incisor. She arrived with her mother at a hospital dental clinic with the right maxillary central incisor tooth wrapped in a wet paper towel over 1 hour after the injury. Replantation was accomplished without root surface alteration or root canal intervention. Clinical and radiographic follow-up examinations for over 1 year revealed continued root growth and apical development of the replanted avulsed immature maxillary central incisor with no signs or symptoms of pulpal or periapical pathosis. Excellent outcomes were achieved for periodontal ligament reattachment without removal of the periodontal membrane and pulp revascularization without endodontic intervention.

Preservation the Pulp Activity of the Involved Teeth in Jaw Cyst: an Observational Study

“…Especially for pediatric patients, some factors occur: apex may not have completed the root maturation at the time of intervention; the pulp activity of their teeth is easier to regenerate; moreover, the lack of compliance may require a treatment in general anesthesia. Therefore, it is important to carefully evaluate the maintenance of teeth, because any cyst recurrence would increase the burden of care [28] . Through improvement of this surgical method and the principle of treatment of involved teeth, the involved teeth with normal or insensitive pulp can be preserved effectively.…”