Title: Avulsion of permanent tooth: a case report and new guidelines
Abstract:
Introduction: Injury to the orofacial structure is serious type of traumatic injury and emergency in dental practice. Rapid and precise emergency management is important for attaining the best outcome after this injury. Approximately 0.5-16% (1) of traumatic injuries to the permanent anterior dentition result in tooth avulsion (2-4). Immediate treatment of choice for tooth avulsion is reimplantation but is not always possible.
Long-term survival of these reimplanted teeth is not highly successful and may be lost or condemned to extraction at a later stage. still, not replanting a tooth is an irreversible decision and therefore saving it should be attempted.
This case report presents successful delayed reimplantation of permanent central incisor with 3 years follow up. Patient reported late in tertiary care centre after 17hours of accidental fall with tooth carrying in sterile saline vial. Decision was made to reimplant the avulsed tooth so that it will not affect aesthetics, function and psychology of growing child. Patient was completely happy with reimplanted tooth after 3 years of follow up.
This presentation also focuses on recommended new guidelines for traumatic injury by American Association of Endodontics (AAE) and International Association of dental traumatology (IADT) and their challenges.
