Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.14436/2358-2545.8.3.082-089.cre http://hdl.handle.net/11449/221393 |
Resumo: | Introduction: Currently, determining therapeutic strategies for improving prognosis of delayed replantation of teeth that have been inadvertently stored in a dry environment is a challenge. A 22-year-old patient sought dental care three days after avulsion of tooth #8. Mechanically, the root surface was carefully scraped with periodontal curettes and chemically treated with 5.25% sodium hypochlorite followed by 17% EDTA. Following extraoral treatment and chemomechanical preparation, the root canal was filled with calcium hydroxide paste. The patient did not attend all follow-ups. After 102 months, maxillary right central incisor was clinically functional, but ankylosed. There was palatal periodontal pocket measuring 5 mm in depth and purulent exudate. Radiography revealed advanced external root resorption. After periodontal treatment, the root canal was dressed with calcium hydroxide paste and subsequently filled with MTA. At follow-up after 18 months, root resorption had stabilized. Experimentally, an extracted tooth stored under identical conditions received similar root surface treatment. With scanning electron microscopy, the root surface showed a high degree of cleanliness with patent dentinal tubules, suggesting favorable root permeability. Root surface treatment and intracanal dressing enabled preservation of the avulsed tooth after delayed replantation, with satisfactory function and aesthetics for approximately a decade. |
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Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decadeDental injuriesMaxillofacial injuriesTooth avulsionTooth resorptionIntroduction: Currently, determining therapeutic strategies for improving prognosis of delayed replantation of teeth that have been inadvertently stored in a dry environment is a challenge. A 22-year-old patient sought dental care three days after avulsion of tooth #8. Mechanically, the root surface was carefully scraped with periodontal curettes and chemically treated with 5.25% sodium hypochlorite followed by 17% EDTA. Following extraoral treatment and chemomechanical preparation, the root canal was filled with calcium hydroxide paste. The patient did not attend all follow-ups. After 102 months, maxillary right central incisor was clinically functional, but ankylosed. There was palatal periodontal pocket measuring 5 mm in depth and purulent exudate. Radiography revealed advanced external root resorption. After periodontal treatment, the root canal was dressed with calcium hydroxide paste and subsequently filled with MTA. At follow-up after 18 months, root resorption had stabilized. Experimentally, an extracted tooth stored under identical conditions received similar root surface treatment. With scanning electron microscopy, the root surface showed a high degree of cleanliness with patent dentinal tubules, suggesting favorable root permeability. Root surface treatment and intracanal dressing enabled preservation of the avulsed tooth after delayed replantation, with satisfactory function and aesthetics for approximately a decade.Universidade Federal dos Vales do Jequitinhonha e Mucuri Faculdade de OdontologiaMaster's degree in Dental Clinic Universidade Federal dos Vales do Jequitinhonha e MucuriDoctorate degree in Dental Clinic Universidade Federal de Minas GeraisDoctorate degree in Endodontics Universidade Estadual de Montes ClarosMaster's degree in Stomatology Universidade Federal dos Vales do Jequitinhonha e MucuriDoctorate degree in Endodontics Universidade Estadual Paulista Júlio de Mesquita FilhoDoctorate degree in Endodontics Universidade Estadual Paulista Júlio de Mesquita FilhoFaculdade de OdontologiaUniversidade Federal dos Vales do Jequitinhonha e MucuriUniversidade Federal de Minas Gerais (UFMG)Universidade Estadual de Montes ClarosUniversidade Estadual Paulista (UNESP)Fernandes, Vanessa Cruz Silvade Carvalho, Monize Ferreira FigueiredoSoares, Suelleng Maria Cunha SantosGlória, José Cristiano RamosSoares, Janir Alves [UNESP]2022-04-28T19:28:06Z2022-04-28T19:28:06Z2018-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article82-89http://dx.doi.org/10.14436/2358-2545.8.3.082-089.creDental Press Endodontics, v. 8, n. 3, p. 82-89, 2018.2178-3713http://hdl.handle.net/11449/22139310.14436/2358-2545.8.3.082-089.cre2-s2.0-85074478696Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengDental Press Endodonticsinfo:eu-repo/semantics/openAccess2022-04-28T19:28:06Zoai:repositorio.unesp.br:11449/221393Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T23:19:10.277609Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade |
title |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade |
spellingShingle |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade Fernandes, Vanessa Cruz Silva Dental injuries Maxillofacial injuries Tooth avulsion Tooth resorption |
title_short |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade |
title_full |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade |
title_fullStr |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade |
title_full_unstemmed |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade |
title_sort |
Delayed tooth replantation after dry storage: Preservation of function and aesthetics for a decade |
author |
Fernandes, Vanessa Cruz Silva |
author_facet |
Fernandes, Vanessa Cruz Silva de Carvalho, Monize Ferreira Figueiredo Soares, Suelleng Maria Cunha Santos Glória, José Cristiano Ramos Soares, Janir Alves [UNESP] |
author_role |
author |
author2 |
de Carvalho, Monize Ferreira Figueiredo Soares, Suelleng Maria Cunha Santos Glória, José Cristiano Ramos Soares, Janir Alves [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Faculdade de Odontologia Universidade Federal dos Vales do Jequitinhonha e Mucuri Universidade Federal de Minas Gerais (UFMG) Universidade Estadual de Montes Claros Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Fernandes, Vanessa Cruz Silva de Carvalho, Monize Ferreira Figueiredo Soares, Suelleng Maria Cunha Santos Glória, José Cristiano Ramos Soares, Janir Alves [UNESP] |
dc.subject.por.fl_str_mv |
Dental injuries Maxillofacial injuries Tooth avulsion Tooth resorption |
topic |
Dental injuries Maxillofacial injuries Tooth avulsion Tooth resorption |
description |
Introduction: Currently, determining therapeutic strategies for improving prognosis of delayed replantation of teeth that have been inadvertently stored in a dry environment is a challenge. A 22-year-old patient sought dental care three days after avulsion of tooth #8. Mechanically, the root surface was carefully scraped with periodontal curettes and chemically treated with 5.25% sodium hypochlorite followed by 17% EDTA. Following extraoral treatment and chemomechanical preparation, the root canal was filled with calcium hydroxide paste. The patient did not attend all follow-ups. After 102 months, maxillary right central incisor was clinically functional, but ankylosed. There was palatal periodontal pocket measuring 5 mm in depth and purulent exudate. Radiography revealed advanced external root resorption. After periodontal treatment, the root canal was dressed with calcium hydroxide paste and subsequently filled with MTA. At follow-up after 18 months, root resorption had stabilized. Experimentally, an extracted tooth stored under identical conditions received similar root surface treatment. With scanning electron microscopy, the root surface showed a high degree of cleanliness with patent dentinal tubules, suggesting favorable root permeability. Root surface treatment and intracanal dressing enabled preservation of the avulsed tooth after delayed replantation, with satisfactory function and aesthetics for approximately a decade. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 2022-04-28T19:28:06Z 2022-04-28T19:28:06Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.14436/2358-2545.8.3.082-089.cre Dental Press Endodontics, v. 8, n. 3, p. 82-89, 2018. 2178-3713 http://hdl.handle.net/11449/221393 10.14436/2358-2545.8.3.082-089.cre 2-s2.0-85074478696 |
url |
http://dx.doi.org/10.14436/2358-2545.8.3.082-089.cre http://hdl.handle.net/11449/221393 |
identifier_str_mv |
Dental Press Endodontics, v. 8, n. 3, p. 82-89, 2018. 2178-3713 10.14436/2358-2545.8.3.082-089.cre 2-s2.0-85074478696 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Dental Press Endodontics |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
82-89 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129507382525952 |