Paul Smita, Das Sambarta, Debbarma Nirmal, Dasgupta Barun, Seal Bidyut, Satapathy Ayesha
Department of Pedodontics and Preventive Dentistry, Agartala Government Dental College and IGM Hospital, Tripura, India.
Department of Conservative Dentistry and Endodontics, Hitech Dental College and Hospital, Bhubaneswar, Odisha, India.
J Pharm Bioallied Sci. 2024 Dec;16(Suppl 4):S3461-S3463. doi: 10.4103/jpbs.jpbs_918_24. Epub 2024 Oct 4.
Successful re-plantation of avulsed tooth in children demands instantaneous management. This case report emphasizes the efficient treatment of a 09-Year-old boy who suffered an avulsion of the maxillary right central incisor at his school. The patient reported within half an hour of the traumatic dental injury with the avulsed tooth in his hand wrapped in a piece of newspaper. Immediately the tooth was placed in normal saline (0.7%) when the patient arrived and conventional Root Canal Therapy (RCT) was done extra-orally. After the root canal, the tooth was re-planted according to the IADT guidelines and stabilized in place with splinting. Our interpretation suggests that re-plantation of an avulsed tooth as quickly as possible, using appropriate splint and planned root canal therapy, promotes faster periapical healing and yields a better prognosis.
儿童牙齿完全脱位再植成功需要即时处理。本病例报告强调了对一名9岁男孩的有效治疗,该男孩在学校时上颌右侧中切牙完全脱位。患者在牙齿外伤半小时内前来就诊,脱位牙握在手中,用一张报纸包着。患者到达后,立即将牙齿置于生理盐水(0.7%)中,并在口外进行常规根管治疗。根管治疗后,根据国际牙外伤协会(IADT)指南将牙齿再植,并使用夹板固定在位。我们的解读表明,尽快进行脱位牙再植,使用合适的夹板并进行计划性根管治疗,可促进根尖周更快愈合并获得更好的预后。