External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

• Published in: Dentistry journal Vol. 9; no. 6; p. 72
• Main Authors: Di Giorgio, Gianni, Salucci, Alessandro, Sfasciotti, Gian Luca, Iaculli, Flavia, Bossù, Maurizio
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 01-06-2021; MDPI
• Subjects: Ankylosis; Calcium; Case Report; Case reports; Cement; Composite materials; Dental cement; Dental pulp; dental trauma; Dentistry; Endodontics; Fractures; Medical prognosis; root resorption; Signs and symptoms; Teeth; tooth avulsion; tooth reimplantation; Trauma; Zinc oxides; United States > US
• ISSN: 2304-6767; 2304-6767
• DOI: 10.3390/dj9060072

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.