Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case Report

Background: Avulsion of the permanent teeth is one of the most serious oral health problems among active children and adolescents. Traumatized patients require immediate and correct treatment in order to restore damaged structures and function that have major impact on daily patient’s life. As a res...

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Main Authors: Egle Bendoraitiene, Sandra Zemgulyte, Marija Borisovaite
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2017-12-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2017/4/e6/v8n4e6ht.htm
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author Egle Bendoraitiene
Sandra Zemgulyte
Marija Borisovaite
author_facet Egle Bendoraitiene
Sandra Zemgulyte
Marija Borisovaite
author_sort Egle Bendoraitiene
collection DOAJ
description Background: Avulsion of the permanent teeth is one of the most serious oral health problems among active children and adolescents. Traumatized patients require immediate and correct treatment in order to restore damaged structures and function that have major impact on daily patient’s life. As a result, proper guidelines and fast treatment methods are necessary. This case report discusses treatment of maxillary right central incisor with an open apex that had been avulsed and replanted. We review applied treatment procedures to manage dental avulsion and restore function and aesthetics. Methods: A 10-year-old male presented with avulsion of his maxillary right central incisor as a result of unintentional playground injury. The tooth had been stored dry before the patient received immediate care. The avulsed tooth was reimplanted and splinted. The applied treatment procedures include endodontic and restorative treatment as well as careful follow-up visits. Results: The patient underwent endodontic therapy of his maxillary right central incisor with calcium hydroxide as an intracanal medicament in apexification technique and the closure of apex was achieved. Canal was obturated and the tooth was restored with composite resin. Clinical and radiographic imaging follow-up showed endodontic success with closed apex. However, severe infra-position of maxillary right central incisor developed due to ankylosis. Conclusions: Ankylosis due to tooth avulsion is a common complication of reimplanted permanent incisors and must be taken into consideration. While addressing ankylosis and its results is supported by little evidence, every case must be diagnosed correctly and treated according to its negative outcomes.
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spelling doaj-art-bf3f239ac985453d9c392abae9bf0b7e2025-08-20T03:35:50ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2017-12-0184e610.5037/jomr.2017.8406Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case ReportEgle BendoraitieneSandra ZemgulyteMarija BorisovaiteBackground: Avulsion of the permanent teeth is one of the most serious oral health problems among active children and adolescents. Traumatized patients require immediate and correct treatment in order to restore damaged structures and function that have major impact on daily patient’s life. As a result, proper guidelines and fast treatment methods are necessary. This case report discusses treatment of maxillary right central incisor with an open apex that had been avulsed and replanted. We review applied treatment procedures to manage dental avulsion and restore function and aesthetics. Methods: A 10-year-old male presented with avulsion of his maxillary right central incisor as a result of unintentional playground injury. The tooth had been stored dry before the patient received immediate care. The avulsed tooth was reimplanted and splinted. The applied treatment procedures include endodontic and restorative treatment as well as careful follow-up visits. Results: The patient underwent endodontic therapy of his maxillary right central incisor with calcium hydroxide as an intracanal medicament in apexification technique and the closure of apex was achieved. Canal was obturated and the tooth was restored with composite resin. Clinical and radiographic imaging follow-up showed endodontic success with closed apex. However, severe infra-position of maxillary right central incisor developed due to ankylosis. Conclusions: Ankylosis due to tooth avulsion is a common complication of reimplanted permanent incisors and must be taken into consideration. While addressing ankylosis and its results is supported by little evidence, every case must be diagnosed correctly and treated according to its negative outcomes.http://www.ejomr.org/JOMR/archives/2017/4/e6/v8n4e6ht.htmankylosis of teethtooth avulsiontooth reimplantation
spellingShingle Egle Bendoraitiene
Sandra Zemgulyte
Marija Borisovaite
Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case Report
eJournal of Oral Maxillofacial Research
ankylosis of teeth
tooth avulsion
tooth reimplantation
title Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case Report
title_full Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case Report
title_fullStr Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case Report
title_full_unstemmed Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case Report
title_short Reasonable Outcome of Avulsed Permanent Upper Incisor after Seven Years Follow-Up Period: a Case Report
title_sort reasonable outcome of avulsed permanent upper incisor after seven years follow up period a case report
topic ankylosis of teeth
tooth avulsion
tooth reimplantation
url http://www.ejomr.org/JOMR/archives/2017/4/e6/v8n4e6ht.htm
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AT marijaborisovaite reasonableoutcomeofavulsedpermanentupperincisoraftersevenyearsfollowupperiodacasereport