Replantation of an Avulsed Matur Permanent Upper Incisor: A Case Report

Year 2024, , 81 - 87, 30.08.2024

Melis Arda Sözüöz , Merve Aksoy

https://doi.org/10.62268/add.1254467

Abstract

Traumatic injuries of teeth and supporting tissues usually affect school-age children. Avulsion is one of the most serious dental injuries of permanent teeth. Following this injury, the physician should start endodontic treatment quickly, if necessary, depending on the development of the root. The purpose of endodontic treatment procedures in these cases are as follows; to remove the effective microorganisms that are responsible for the progression of periapical lesions from the root canals by using appropriate intracanal medicaments, to prevent the resorptive inflammatory response, and to restore the function of the tooth by ensuring the healing of the periapical tissue in this way. In this case report, a 12-year-old female patient admitted to our clinic approximately 45 minutes after experiencing trauma at school, which resulted in avulsion of the maxillary left central incisor. Following the standard replantation procedure, the one-year follow-up results of the canal treatment performed after root canal disinfection using antibiotic-containing solutions and antibacterial agents are presented. Based on these results, although the involved tooth was clinically asymptomatic, no pathological changes were observed in the soft tissues, there was no evidence of root resorption on radiographic examinations, and the lamina dura was observed to be healthy. However, longer-term follow-ups of similar cases and further clinical studies should be considered before recommending the use of the mentioned antibiotic solutions during irrigation.

Keywords

Pediatric dentistry, Root canal medicaments, Tooth avulsion, Traumatic injuries

Project Number

-

Avülse Olan Matür Daimi Üst Kesici Dişin Replantasyonu: Bir Olgu Sunumu

Abstract

Diş ve destek dokuları içeren travmatik yaralanmalar özellikle okul çağındaki çocukları sıklıkla etkilemektedir. Dişin alveol soketten tamamen çıktığı avülsiyon yaralanması, daimi dişlerde görülen en ciddi dental yaralanmalardan birisidir. Avülsiyon yaralanması sonrası dişin ağız dışında geçen süresi ve saklanma koşulları tedavinin uzun dönem prognozunu etkileyecek en önemli faktörlerdendir. Hekimin tedavi seçimi, dişin kök ucunun açık veya kapalı olması ve periodontal ligament hücrelerinin durumuna bağlı olarak değişir. Klinik ve radyografik değerlendirmeler sonucunda kökün gelişimine bağlı olarak hızlı bir şekilde endodontik tedaviye başlanmalıdır. Avülse olan dişlerdeki endodontik tedavi prosedürlerinin asıl amacı; periapikal dokuda iyileşme sağlayarak dişe fonksiyonunu yeniden kazandırmak ve uygun kanal içi medikamanlar kullanılarak periapikal lezyonların gelişiminde ve ilerlemesinde etkili olan mikroorganizmaların kök kanallarından uzaklaştırılarak rezorptif inflamatuar yanıtın önlenmesini sağlamaktır.

Keywords

Çocuk Diş Hekimliği, Kök Kanal Medikamanları, Dental Avülsiyon, Travmatik Yaralanmalar.

Supporting Institution

-

Project Number

-

Thanks

-

References

• 1. Glendor U, Halling A, Andersson L, Eilert-Petersson E. Incidence of traumatic tooth injuries in children and adolescents in the county of Västmanland, Sweden. Swed Dent J. 1996;20:15-28.
• 2. Andreasen JO, Andreasen FM, Tsilingaridis G. Avulsions. In: Andreasen JO, Andreasen FM, Andersson L. (eds.) Textbook and Color Atlas of Traumatic İnjuries to the Teeth. Oxford: Wiley-Blackwell; 2019, p486-520.
• 3. Tzigkounakis V, Merglová V, Hecová H, Netolický J. Retrospective clinical study of 90 avulsed permanent teeth in 58 children. Dent Traumatol. 2008;24:598-602.
• 4. Andreasen JO, Andreasen FM. Andreasen JO, Andreasen FM. Essentials of Traumatic Injuries to the Teeth : A Step-by-Step Treatment Guide, 2nd Edition. 2023;11–2.
• 5. Pohl Y, Wahl G, Filippi A, Kirschner H. Results after replantation of avulsed permanent teeth. III. Tooth loss and survival analysis. Dent Traumatol. 2005;21:102-10.
• 6. Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36:331-42.
• 7. Wang G, Wang C, Qin M. A retrospective study of survival of 196 replanted permanent teeth in children. Dent Traumatol. 2019;35:251-8.
• 8. Kılkış B, Tahan E. Travma sonrası avülse olan dişlerin replantasyonunda güncel endodontik tedavi yaklaşımları. Turkiye Klinikleri J Dental Sci. 2014;5:51-6.
• 9. Yaman F, Unlü G, Atilgan S, Celik Y, Ozekinci T, Yaldiz M. Microbiologic and histologic assessment of intentional bacterial contamination of bone grafts. J Oral Maxillofac Surg. 2007;65:1490-4.
• 10. Ribeiro JS, Münchow EA, Ferreira Bordini EA, de Oliveira da Rosa WL, Bottino MC. Antimicrobial therapeutics in regenerative endodontics: a scoping review. J Endod. 2020;46:S115-27.
• 11. Erik CE, Maden M, Çelik G. Endodontide kullanılan irrigasyon solüsyonları. SDÜ Sağlık Bilimleri Enstitüsü Derg. 2018;9:31-38.
• 12. Barakat I, ElPatal MA, Abushanan A, Abd-Elrady BEA. Antibacterial effect of metronidazole vs chlorhexidine solutions in treatment of root canals of primary anterior teeth. J Contemp Dent Pract. 2020;21:396-9.
• 13. Kayataş M, Kaptan RF, Aşçı S. Kök kanal ilaçları. Acta Odontol Turc. 2014;31:106-13.
• 14. Sato T, Hoshino E, Uematsu H, Kota K, Iwaku M, Noda T. Bactericidal efficacy of a mixture of ciprofloxacin, metronidazole, minocycline and rifampicin against bacteria of carious and endodontic lesions of human deciduous teeth in vitro. Microb Ecol Health Dis. 1992;5:171-7.
• 15. Windley W 3rd, Teixeira F, Levin L, Sigurdsson A, Trope M. Disinfection Of immature teeth with a triple antibiotic paste. J Endod. 2005;31:439-43.
• 16. Cigerim L, Orhan ZD, Kaplan V, Cigerim SC, Feslihan E. Evaluation of the efficacy of topical rifamycin application on postoperative complications after lower impacted wisdom teeth surgery. J Stomatol Oral Maxillofac Surg. 2023;11:101501.
• 17. Hoshino E, Kurihara-Ando N, Sato I, Uematsu H, Sato M, Kota K. In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. International Endod J. 1996;29:125-30.
• 18. Mello-Moura AC, Fanaro J, Nicoletti MA, Mendes FM, Wanderley MT, Guedes-Pinto AC. Variability in the proportion of components of iodoform-based Guedes-Pinto paste mixed by dental students and pediatric dentists. Indian J Dent Res. 2011;22:781-5.
• 19. Praetzel JR, Ferreira FV, Weiss RN, Friedrich RS, Guedes-Pinto AC. Antimicrobial action of a filling paste used in pulp therapy in primary teeth under different storage conditions. J Clin Pediatr Dent. 2008;33:113-6.
• 20. Silva CM, Candelária LFA, Bombana AC. Estudo comparativo da ação antimicrobiana entre cinco pastas de obturação de canais radiculares de dentes decíduos. J Bras Odontoped Odontol Bebê. 2002;5:502-10.
• 21. Kumar NK, Brigit B, Annapoorna BS, Naik SB, Merwade S, Rashmi K. Effect of triple antibiotic paste and calcium hydroxide on the rate of healing of periapical lesions: a systematic review. J Conserv Dent. 2021;24:307-13.
• 22. Moreira MC, Augusto P. Atividade antimicrobiana do metronidazol gel associado ao hidróxido de cálcio e ao cimento portland frente às bactérias anaeróbias relacionadas a the antibacterial activity of the metronidazole gel associated with calcium hydroxide and cement portland fro. Rev Odonto Ciência. 2007;22:23-9.
• 23. Cães DDE, Lesão COM, Crônica P. Association of calcium hydroxide and metronidazole ın the treatment of dog’s teeth with chronic periapical lesion. J Appl Oral Sci. 2006;14:334–40. 24. Karataş E, Kırmızıbekmez Ö, Baltacı MÖ, Adıgüzel A. Effect of triple antibiotic paste, double antibiotic paste, and calcium hydroxide on antibiotic resistance of tet repressor proteins, tetracycline resistance gene W, and tetracycline resistance gene Q: a randomized controlled clinical trial. J Dent Indones. 2023;30:180-9.
• 25. Töreci K. Kinolonlar dışında nükleik asit sentezini ve sitoplazma zarını etkileyen antibakteriyeller. ANKEM Derg. 2003;17:212-5.