Sadeghi Seyed Mohsen, Moradi Samaneh, Soltani Samaneh
School of Dentistry, Department of Endodontics, Qom University of Medical Sciences, Qom, Iran.
School of Dentistry, Department of Endodontics, Isfahan University of Medical Sciences, Isfahan, Iran.
Case Rep Dent. 2021 Sep 28;2021:6309711. doi: 10.1155/2021/6309711. eCollection 2021.
Avulsion is among the most severe types of dental trauma, which often occurs at young ages and can compromise the long-term prognosis of the traumatized tooth. . Herein, we report replantation of two avulsed teeth. Our patient was an 11-year-old boy with two avulsed maxillary central incisors due to a bicycle fall 2 months earlier. The patient was referred to us after rigid splinting of his teeth by a surgeon. Long-term calcium hydroxide (CH) therapy was performed for the patient, and after healing of periodontal ligament (PDL), apexification was performed for both teeth followed by root canal therapy. During the 2-year follow-up, both teeth were functional and had no radiographic or clinical evidence of resorption or ankylosis.
The reported case highlights the favorably high tissue healing potential following severe dental trauma, given that appropriate treatment is performed. Correct endodontic management can guarantee the long-term prognosis of teeth following severe dental trauma.
牙脱位是最严重的牙外伤类型之一，常发生于年轻患者，会影响患牙的长期预后。在此，我们报告两例牙再植病例。我们的患者是一名11岁男孩，两个月前因骑自行车摔倒导致两颗上颌中切牙脱位。在外科医生对其牙齿进行坚固固定后，患者转诊至我们处。对该患者进行了长期氢氧化钙（CH）治疗，在牙周膜（PDL）愈合后，对两颗牙齿进行了根尖诱导成形术，随后进行根管治疗。在两年的随访期间，两颗牙齿功能正常，影像学或临床检查均未发现吸收或粘连迹象。
该病例报告强调，在进行适当治疗的情况下，严重牙外伤后组织具有良好的高愈合潜力。正确的牙髓治疗管理可确保严重牙外伤后牙齿的长期预后。
