External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

Dentistry Journal

Gianni Di Giorgio¹  Maurizio Bossù¹  Alessandro Salucci¹  Gian Luca Sfasciotti¹  Flavia Iaculli¹ 

[1] Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy;

关键词: dental trauma;    root resorption;    tooth avulsion;    tooth reimplantation;   

DOI  :  10.3390/dj9060072

来源: DOAJ

【 摘 要 】

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.

【 授权许可】

Unknown