Immediate and Successful Management of Avulsed Teeth: A Case Reports
Thejashree N *
Department of Conservative Dentistry and Endodontics, DAPM RV Dental College, Bangalore, India.
Vanamala N
Department of Conservative Dentistry and Endodontics, DAPM RV Dental College, Bangalore, India.
B S Keshava Prasad
Department of Conservative Dentistry and Endodontics, DAPM RV Dental College, Bangalore, India.
*Author to whom correspondence should be addressed.
Abstract
Avulsion and midroot fractures of teeth present significant challenges in dental trauma management. These case reports outlines the successful management of avulsed after a lapse of 2hrs in 1st case report and 24hrs in 2nd case report and midroot fractured tooth, focusing on immediate steps, long-term strategies, and clinical considerations. Midroot fractures often present with compromised structural integrity, necessitating stabilization and protection of the tooth to prevent further damage. Splinting techniques stabilize the tooth and promote healing of periodontal tissues. However, careful monitoring is crucial to assess for potential complications such as inflammatory root resorption and external root resorption. In both the cases extraoral root canal treatment was done for avulsed tooth and then reimplanted into the socket and stabilisation was done using splinting. Followup up was done at regular intervals of one and 3 months which showed no resorption or perapical changes, lack of clinical symptoms
In conclusion, the management of avulsed and midroot fractured teeth requires long-term treatment strategies. Favorable outcomes can be achieved, preserving tooth function, and esthetics in patients with traumatic dental injuries.
Keywords: Tooth avulsion, traumatic injury, replantation