Kaur Ibadat Preet, Kumar Ashok, Kumar Mukul, Jha Kanistika
ESIC Medical College and Hospital Alwar India.
Department of Pedodontics and Preventive Dentistry ESIC Dental College and Hospital New Delhi India.
Clin Case Rep. 2023 Jul 20;11(7):e7721. doi: 10.1002/ccr3.7721. eCollection 2023 Jul.
Tooth reimplantation should be attempted in every possible case with thorough disinfection and impervious obturation. Integration of progressive innovations with recommended protocols can enhance complication free survival in intense situations.
The present case describes the unique successful outcome of a tooth reimplanted after the delay of 30 hours. A 21-year old male patient presented with an avulsed #21 after a fall due to electric shock. It was reimplanted according IADT guidelines with the addition of specific irrigation sequence proposed for regenerative endodontic procedures during the endodontic treatment. The final obturation was accomplished by combination of Biodentine and BioRCS root-canal sealer. Subluxated #11 developed symptoms at 6 months and was further managed using recommended endodontic procedure. Both teeth had complication free survival during 5 year follow-up.
在所有可能的情况下,都应尝试进行牙齿再植,并进行彻底消毒和严密充填。将渐进性创新与推荐方案相结合,可以提高在复杂情况下无并发症存活的几率。
本病例描述了一颗延迟30小时后再植牙齿的独特成功结果。一名21岁男性患者因触电跌倒后,21号牙脱落。根据国际牙外伤协会(IADT)指南进行再植,并在根管治疗期间增加了针对牙髓再生程序建议的特定冲洗顺序。最终充填采用BioDentine和BioRCS根管封闭剂联合完成。11号牙半脱位在6个月时出现症状,并采用推荐的根管治疗程序进一步处理。在5年随访期间,两颗牙齿均无并发症存活。