Survival of a Maxillary Incisor in an Adolescent Male 16 Years after Its Delayed Replantation

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
R. Biagi, V. Maccagnola
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引用次数: 7

Abstract

Introduction: Recreational and sport activities, traffic accidents and human behaviour represent the main causes of trauma in young people. Case presentation: This report describes a case of a 15.2-year-old male who suffered uncomplicated crown fracture and avulsion of tooth 11 and uncomplicated crown fracture of tooth 21 due to a bicycle accident. Tooth 11 was dry stored and it was replanted 18 h after the trauma. The root was planed to remove the necrotic periodontal tissue, the pulp was extirpated before replantation and a flexible splint was applied to tooth 13 to tooth 23 for 3 weeks. A replacement root resorption of replanted tooth was suspected at the 3-month radiographic control and suffered a dramatic increase later; minimal infraocclusion, about 1 mm, was observed due to its ankylosis. Sixteen years after the trauma the patient was scheduled for an orthodontic and implanto-prosthetic rehabilitation. Conclusion: Delayed replantation usually has a long-term poor prognosis, so it is very important to promote awareness regarding emergency management modalities in dental traumatology especially among parents, school teachers, and coaches that are usually present at the site of the accident.
青少年男性上颌切牙延迟再植16年后的存活率
引言:娱乐和体育活动、交通事故和人类行为是造成青少年创伤的主要原因。病例介绍:本报告报告一名15.2岁男性,因自行车事故导致第11牙无并发症冠骨折及撕脱,第21牙无并发症冠骨折。11号牙干燥保存,创伤后18小时再植。将牙根刨平以去除坏死的牙周组织,在再植前拔除牙髓,并在牙13至牙23上使用柔性夹板3周。在3个月的x线检查中怀疑再植牙的替代根吸收,并在之后急剧增加;由于其强直,观察到最小的下咬合,约1mm。创伤后16年,病人被安排进行正畸和种植修复康复。结论:延后再植的远期预后较差,因此提高牙外伤患者的应急管理意识是非常重要的,尤其是在事故现场的家长、学校教师和教练员中。
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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