A 13-year follow-up multidisciplinary management of replanted avulsed permanent incisor: Case report

Authors

DOI:

https://doi.org/10.22370/asd.2021.1.1.2448

Keywords:

Tooth avulsions, Trauma, Permanent Dentition, Tooth reimplantation, Follow Up Care.

Abstract

Background: Permanent teeth avulsion represents a high rate among all dental trauma injuries and their rapid management is very important for prognosis. The aim of the present study is to report the multidisciplinary treatment and 13-years follow-up of a case of the replantation of a permanent maxillary central incisor after dental avulsion.

Clinical presentation: A 8-year-old male patient presenting avulsion of right maxillary central incisor (11) and subluxation associated with uncomplicated crown fracture of left permanent central incisor (21) was treated with immediate replantation of the #11. Due to anterior open bite, severe crowding of teeth in the trauma region and Angle's Class II profile, an orthodontic approach was performed. Long-term follow-up at 12-years after the trauma, and 7-years after the beginning of orthodontic treatment, appliance was removed, and permanent root canal filling of right maxillary central incisor was performed.

Clinical Relevance: The treatment of choice for a dental avulsion is to replant the tooth as soon as the trauma has occurred for a better prognosis, addressing the guidelines of the International Association of Dental Traumatology (IADT) associated with orthodontic management.

Conclusion: Clinical results after 13-years follow-up showed that this approach controlled the progressive resorption and allowed orthodontic movement maintained the patient’s health over time.

Author Biographies

Bharbara Marinho Barcellos, Universidade Federal de Pelotas

DDS, Maxillofacial Surgery Resident, Federal University of Pelotas, Pelotas, Brazil.

Giselle Daer Faria, Private Practice Dentistry

DDS, MS, PhD, Private Practice Dentistry, Pelotas, Brazil. 

Josué Martos, Universidade Federal de Pelotas

Professor, Department of Semiology and Clinics, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.

Letícia Kirst Post, Universidade Federal de Pelotas

Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil. 

Cristina Braga Xavier, Universidade Federal de Pelotas

Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil. 

Downloads

Published

2021-04-16

How to Cite

Barcellos, B. M., Faria, G. D., Martos, J., Post, L. K., & Xavier, C. B. (2021). A 13-year follow-up multidisciplinary management of replanted avulsed permanent incisor: Case report. Applied Sciences in Dentistry, 2(1). https://doi.org/10.22370/asd.2021.1.1.2448

Issue

Vol. 2 No. 1 (2021): Enero-Abril

Section

Case Reports

License

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository, in a journal or publish it in a book), with an acknowledgment of its initial publication in this journal.

Authors are encouraged to post their work online (e.g., in their institutional repositories or on their website) only after publication online.

When uploading, disseminating or repurposing Open Access publications, the journal should be clearly identified as the original source and proper citation information provided. In addition to the Version of Record (final published version), authors should deposit the URL/DOI of their published article in any repository.