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Treatment Alternative for Root Resorption of an Avulsed Tooth in a Growing Child: A Case Report With a 4‐Year Follow‐Up
Author(s) -
Mau Lian Ping,
Pang IokChao,
Tseng ChuenChyi,
Melody Chen YeaHuey,
Cochran David L.
Publication year - 2012
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2012.110069
Subject(s) - medicine , dentistry , root canal , avulsion , implant , resorption , tooth avulsion , incisor , surgery , pathology
Dental treatment is difficult in young patients who present with a root‐resorbed permanent tooth and are still growing. The purpose of this case report is to present a treatment option to delay implant placement until the child's growth has slowed and the tissues are fully developed so that an esthetic implant restoration can be achieved. Case Presentation: A 9‐year‐old female patient presented to the clinic after a traffic accident. Avulsion of her maxillary right central incisor had occurred and the tooth was repositioned during that emergency visit. The tooth vitality was followed regularly. Significant root resorption of the tooth was observed 4 years after the accident. The treatment strategy was to retain the tooth as long as possible until her growth was completed. Root canal therapy was done, and the canal was sealed with calcium hydroxide, mineral trioxide aggregate, and glass ionomer cement. Unfortunately, root resorption continued. When the patient was 22 years old, the tooth was extracted, and a standard‐sized implant was placed immediately with a bone graft, collagen membrane, and connective tissue graft augmentation. A temporary restoration was inserted 5 months after implantation. The definitive restoration was fabricated 3 months after the provisional. The dentists and patient were satisfied with the final outcome. Conclusion: Repositioning of an avulsed tooth and conservative endodontic treatment despite root resorption preserved the adjacent bone in a young female until her growth was complete, allowing for the placement of a standard‐sized dental implant with a natural esthetic restoration.