Delayed Replantation after Endodontic and Fluoride Treatment: A 5-Year Follow-up

JOURNAL TITLE: International Journal of Clinical Pediatric Dentistry

Author
1. Kristlee Sabrin Fernandes
2. Francis Akkara
3. Paul Chalakkal
4. Abi Mathew Thomas
ISSN
0974-7052
DOI
10.5005/jp-journals-10005-1114
Volume
4
Issue
3
Publishing Year
2011
Pages
4
Author Affiliations
    1. Department of Pedodontics and Preventive Dentistry, Goa Dental College & Hospital, Bambolim, Goa, India
    1. Department of Pediatric and Preventive Dentistry, Christian Dental College, Ludhiana, Punjab, India
    1. Department of Oral Surgery, Goa Dental College, Goa, India
    1. Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital, Bambolim, Goa, India
  • Article keywords
    Delayed replantation, Avulsion, Fluoride

    Abstract

    Aim: To evaluate if endodontic and fluoride treatment of the root before delayed replantation would render the tooth a favorable prognosis. Methods: A 10-year-old boy reported 10 hours after he had avulsed his maxillary right permanent central incisor. The pulp and PDL cells were considered to be nonviable. Endodontic treatment for the tooth was performed extraorally and obturated with gutta-percha. Prior to replantation, the root was treated with 1.23% APSF for 15 minutes. Result: An intraoral radiograph taken 6 months after replantation revealed narrowing of the PDL space around the replanted tooth due to apposition from the surrounding alveolar bone. A radiograph taken 5 years after replantation revealed no evidence of external root resorption. There was no abnormal mobility either. Conclusion: Extraoral endodontic treatment and root treatment with 1.23% APSF prior to delayed replantation might prevent the occurrence of external root resorption.

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