Long-term prognosis after decoronation of avulsed teeth with replacement resorption: a report of three cases

• Published in: The Journal of clinical pediatric dentistry Vol. 48; no. 1; p. 204
• Main Authors: Han, Ji-Eun, Kim, Gi-Min, Kim, Hyun-Jung, Lee, Jae-Sik
• Format: Journal Article
• Language: English
• Published: Singapore 01-01-2024
• Subjects: Child; Humans; Incisor - injuries; Prognosis; Root Resorption - complications; Root Resorption - therapy; Tooth Ankylosis; Tooth Avulsion - complications; Tooth Avulsion - therapy; Tooth Crown; Decoronation; Ankylosis-related resorption; Bone maintenance; Replacement resorption
• ISSN: 1053-4628
• DOI: 10.22514/jocpd.2024.023

The complications of replacement resorption following tooth injury in growing children include infrapositioning of the tooth, tilting of the adjacent teeth, and alveolar ridge deformity. Decoronation is a conservative treatment method that facilitates bone preservation. The current case report focuses on the long-term preservation of alveolar ridge dimension following decoronation in three patients. Decoronation was performed prior to occurrence of the pubertal growth spurt, and the patients' ridge width and vertical apposition were monitored for at least 4 years. Timely intervention and regular monitoring are essential for maximization of the benefits of decoronation, a simple procedure that preserves esthetics and minimizes the need for further treatments. The importance of space management for prosthetic treatment has also been highlighted. The findings of this study show that infrapositioned teeth in growing children can be treated successfully using decoronation.