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Treatment of extrusive luxation by intentional replantation
Author(s) -
MARTINS WILSON DENIS,
WESTPHALEN VANIA PORTELA DITZEL,
PERIN CAMILA PAIVA,
DA SILVA NETO ULISSES XAVIER,
WESTPHALEN FERNANDO HENRIQUE
Publication year - 2007
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/j.1365-263x.2006.00798.x
Subject(s) - extrusive , replantation , medicine , tooth replantation , dentistry , permanent tooth , orthodontics , surgery , permanent teeth , root resorption , geochemistry , pathology , basalt , resorption , geology
Background. The accepted treatment for extrusive luxation is repositioning of the extruded tooth at the earliest possible opportunity. Case report. Repositioning was not possible in a patient who presented for treatment 4 days after the accident, and therefore, an intentional replantation was performed instead. The tooth was carefully extracted, the blood clot removed from the alveolus and the tooth was then replanted. Conclusion. Intentional replantation involves the deliberate removal of a tooth and its reinsertion into the alveolus almost immediately afterwards. It is now an accepted endodontic procedure. The favourable outcome of this case suggests that intentional replantation of severely extruded teeth may be a treatment option in cases where the tooth cannot be repositioned and if treatment conditions are adequately followed.