J Korean Assoc Maxillofac Plast Reconstr Surg.  2012 Jul;34(4):280-285.

Endodontic Drainage in Delayed Replantation after Prolonged Extra-alveolar Period of the Avulsed Teeth: Report of a Case

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Korea. yun8288@hanmail.net
  • 2Department of Dentistry, Wonju Christian Hospital, Korea.
  • 3Department of Dentistry, Oral and Maxillofacial Surgery, Dong San Medical Center, Keimyung University School of Medicine, Korea.

Abstract

From the standpoint of general guidelines of a dentist, the following conditions should be considered before replanting a permanent tooth. The avulsed tooth should be without advanced periodontal disease. The alveolar socket should be reasonably intact in order to provide a seat for the avulsed tooth. The extra-alveolar period should be considered, i.e. periods exceeding. 2 hours are usually associated with marked root resorption. But, the above mentioned regulations are often difficult to keep in the actual situation of the medical emergency room, owing it to the delay of primary medical care in multiple trauma patients. The successful cases have been reported with minimal root resorption in the long-term periods, in spite of extra-alveolar periods of several hours and combined alveolar bone fracture. This is a case report regarding the effect of endodontic drainage in delayed replantation after a prolonged extra-alveolar period of the avulsed teeth with alveolar bone fracture.

Keyword

Tooth avulsion; Tooth replantation; Root resorption

MeSH Terms

Dentists
Drainage
Emergencies
Fractures, Bone
Humans
Multiple Trauma
Periodontal Diseases
Replantation
Root Resorption
Social Control, Formal
Tooth
Tooth Avulsion
Tooth Replantation
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