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CASE REPORT
Year : 2015  |  Volume : 4  |  Issue : 3  |  Page : 155-160

Multidisciplinary approach in the immediate replantation of a maxillary central incisor - A six and a half year follow-up


1 Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
2 Department of Oral and Maxillofacial Surgery, School of Dentistry, PUCRS, Porto Alegre, Rio Grande do Sul, Brazil
3 Department of Orthodontics, School of Dentistry, UNIARARAS, Araras, São Paulo, Brazil
4 Department of Semiology and Clinics, Faculty of Dentistry, University Federal of Pelotas, Pelotas, Brazil

Correspondence Address:
Josué Martos
Department Semiology and Clinics, Faculty of Dentistry, Gonçalves Chaves Street 457, Pelotas, Rio Grande do Sul 96015-560
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9626.163342

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This report proposes a discussion of the various peculiarities of a tooth 21 replantation in a 9-year-old patient and describes different treatment facets and a 6-year follow-up of the case. The splint was maintained for a 3-month period. After a 1΍ year therapy with calcium hydroxide to control inflammatory resorption, the final canal obturation was performed 18 months after trauma with mineral trioxide aggregate. Two years after replantation, the orthodontic treatment had been initiated and 5 years after avulsion, whitening of tooth 21 was also done. Clinical and radiographic follow-up at regular intervals revealed that the treated tooth was still functional, showing normal mobility, resorption stabilization, and normal appearance of the bone tissue and lamina dura, testifying the treatment has been so far successful. The possibility of submitting avulsed teeth to other dental treatments once, there is close professional monitoring by controlling the risks and benefits of each therapy, as well as the patient's cooperation, extra-oral time, and storage media for transport to the dentist among other details is emphasized.


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