Background: Tooth avulsion is the complete displacement of a tooth out of the alveolar socket. The lack of immediate treatment measures can result in the loss of function, esthetics, psychological and social problems, and poor quality of life. Several factors may not enable the prompt replantation of an avulsed tooth; hence, delayed replantation has emanated as an alternative to meet the esthetic, functional, and psychological demands of the patients.
Case description: This case report details the replantation of an avulsed maxillary central incisor in a 21-year-old male patient which was replanted 2 hours after the event. Extraoral root canal treatment was done before replantation and follow-up examinations were performed during 1, 3, and 6 months. The tooth remained in a stable functional position and did not reveal any pathological changes after 6 months. Both esthetic and functional outcomes were satisfactory.
Conclusion: The extent of damage to the tooth and supporting structures, emergency management, and follow-up treatment play a role in the prognosis of the avulsed tooth. The tooth was kept in saline before replantation, and 6 months follow-up showed a favorable prognosis, and further evaluation is needed to predict the long-term prognosis of the tooth.
Andreasen JO, Andreasen FM. Avulsions. In: Andreasen JO, Andreasen FM, Andersson L, ed. Textbook and color atlas of traumatic injuries to the teeth. 4th ed., Copenhagen: Blackwell Munksgaard; 2007. pp. 444–488.
Gulinelli J, Saiton C, Garcia-Junior I, et al. Occurrence of tooth injuries in patients treated in hospital environment in the region of Aracatuba, Brazil during a 6-year period. Dent Traumatol 2008;24(6):640–644. DOI: 10.1111/j.1600-9657.2008.00673.x.
Wright G, Bell A, McGlashan G, et al. Dentoalveolar trauma in Glasgow: an audit of mechanism and injury. Dent Traumatol 2007;23(4): 226–231. DOI: 10.1111/j.1600-9657.2006.00430.x.
Day PF, Gregg TA. Treatment of avulsed permanent teeth in children. UK National Clinical Guidelines in Paediatric Dentistry. Fac Dent J 2012;3:166–169. DOI: 10.1308/204268512X13376834221677.
Andersson L, Andreasen JO, Day P, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2012;28(2):88–96. DOI: 10.1111/j.1600-9657.2012.01125.x.
Zaleckiene V, Peciuliene V, Brukiene V, et al. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija 2014;16(1):7–14.
Petrovic B, Marković D, Peric T, et al. Factors related to treatment and outcomes of avulsed teeth. Dent Traumatol 2010;26(1):52–59. DOI: 10.1111/j.1600-9657.2009.00836.x.
Khinda VIS, Kaur G, Brar GS, et al. Clinical and practical implications of storage media used for tooth avulsion. Int J Clin Pediatr Dent 2017;10(2):158–165. DOI: 10.5005/jp-journals-10005-1427.
Veras SRA, Bem JSP, Almeida ECB, et al. Dental splints: types and time of immobilization post tooth avulsion. J Istanb Univ Fac Dent 2017;51(3 Suppl 1):S69–S75. DOI: 10.17096/jiufd.93579.
Von Arx T, Filippi A, Buser D. Splinting of traumatized teeth with a new device. TTS (titanium trauma splint). Dent Traumatol 2001;17(4): 180–184. DOI: 10.1034/j.1600-9657.2001.170408.x.
Andreasen JO, Borum MK, Jacobsen HL, et al. Replantation of 400 avulsed permanent incisors 4 factors related to periodontal ligament healing. Endod Dent Traumatol 1995;11(2):76–89. DOI: 10.1111/j.1600-9657.1995.tb00464.x.