APA
Bustamante Hernández, Naia & Amengual Lorenzo, Jose & Fernández Estevan, Lucía & Zubizarreta Macho, Álvaro & Martinho da Costa, Cátia Gisela & Agustín Panadero, Rubén .What can we do with a dental avulsion? A multidisciplinary Clinical Protocol.
ISO 690
Bustamante Hernández, Naia & Amengual Lorenzo, Jose & Fernández Estevan, Lucía & Zubizarreta Macho, Álvaro & Martinho da Costa, Cátia Gisela & Agustín Panadero, Rubén. What can we do with a dental avulsion? A multidisciplinary Clinical Protocol.
https://hdl.handle.net/20.500.12080/23966
Résumé:
Purpose: The aim of this case report was to explain a multidisciplinary and conservative approach carrying out the
replantation of an avulsed closed apex central incisor stored in dry conditions for a 16-hour period from the moment
of trauma.
Case report: This report describes a case of a 28 year-old male who suffered contusion of the upper lip, avulsion
of right upper central incisor, enamel cracks after trauma of left upper central incisor and upper left lateral incisor
crown fracture due to an accident. Avulsed tooth was dry stored and it was replanted 16h after the trauma. The root
was disinfected and the necrotic periodontal tissue removed, the endodontic treatment was done before replantation
and a flexible splint was applied to tooth 13 to tooth 23. Two months later a contralateral tooth presented
crown discoloration occurred due to pulp necrosis an endodontic treatment as well as bleaching were carried out.
An esthetic restoration for lateral incisor crown fracture was also done. In the one year review the patient remains
asymptomatic, with no signs of root resorption or ankylosis of the damaged teeth.
Conclusions: A conservative approach of tooth with delayed reimplantation can be a stable and functional with the
appropriate treatment procedures. A clinical protocol for patients and professionals for the treatment of the avulsed
tooth is proposed.