Professional paper

Replantation of Avulsed Permanent Maxillary Central Incisors with Avital Periodontal Ligament (PDL)- A Case Report and Literature Review

Davor Katanec ; Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Neven Kokić ; Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Jakša Grgurević ; Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Zoran Azinović ; Zavod za dentalnu patologiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Hrvoje Jurić ; Zavod za dječju i preventivnu stomatologiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Ksenija Jorgić-Srdjak ; Zavod za parodentologiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska

Abstract

Replantation of permanent central incisors with avital periodontal ligaments following exarticulation due to trauma is presented. The avulsed teeth were fluoridated before replantation for the purpose of deferring resorption. Following usual procedures for root canal preparation, the avulsed teeth were teated with an acidic fluoride solution for 4 minutes followed by replantation and immobilization with a wire-composite splint for a period of ten days. Based upon clinical follow-up parameters (radiographs, mobility test; gingival index) there are no signs of replacement root resorption thirty months following replantation. This case confirms that active fluoride penetrates into the cementum tubules impregnating the surface of the root and slowing down replacement root resorption. This prolongs the survival time of the avulsed tooth in the mouth which presents an advancement in the treatment of this type of avulsion.

Keywords

avulsion; replantation; replacement resorption

Hrčak ID:

98244

URI

https://hrcak.srce.hr/98244

Publication date:

15.9.1998.

Article data in other languages: croatian

Visits: 1.523 *