DOI: 10.36347/sjmcr.2019.v07i08.024

Pages: 537-541

Replantation of the avulsed tooth is the ideal treatment that can restore esthetic appearance and occlusal function shortly after the injury. It often presents a challenge to the clinician. This case report presents the management of an avulsed maxillary permanent left central incisor in an 8-year-old girl. It was kept dry for 40 minutes from the moment of trauma until its replantation. Missing several appointments, the patient was diagnosed with dental ankylosis. After six months of replantation, the root canal was then cleaned and filled with calcium hydroxide. Twenty months after replantation, clinically, the tooth showed 5 millimeters of withdrawal and a severe mobility. The radiographic examination revealed both inflammatory resorption and replacement resorption. Decoronation was applied and the extracted crown was used for temporary prosthesis. Six months later, clinical and radiographic control showed satisfactory healing. This treatment technique has proven to be an advantage for the patient in this growing period by maintaining the esthetics, the height of alveolar bone and by making the provision of an esthetically acceptable permanent restoration at a later age if prognosis becomes poor.