Retain the Original, Maintain Harmony—Management of Avulsion: A Case Report

Abstract

Ab s t r Ac t Background: Tooth avulsion is the complete displacement of a tooth out of the alveolar socket. The lack of immediate treatment measures can result in the loss of function, esthetics, psychological and social problems, and poor quality of life. Several factors may not enable the prompt replantation of an avulsed tooth; hence, delayed replantation has emanated as an alternative to meet the esthetic, functional, and psychological demands of the patients. Case description: This case report details the replantation of an avulsed maxillary central incisor in a 21-year-old male patient which was replanted 2 hours after the event. Extraoral root canal treatment was done before replantation and follow-up examinations were performed during 1, 3, and 6 months. The tooth remained in a stable functional position and did not reveal any pathological changes after 6 months. Both esthetic and functional outcomes were satisfactory. Conclusion: The extent of damage to the tooth and supporting structures, emergency management, and follow-up treatment play a role in the prognosis of the avulsed tooth. The tooth was kept in saline before replantation, and 6 months follow-up showed a favorable prognosis, and further evaluation is needed to predict the long-term prognosis of the tooth.