engleski

Complete root resorption as a consequence of multiple avulsion.

Introduction: Tooth avulsion is a serious dental injury. The blood supply of pulp is interrupted and periodontal ligament cells are exposed to external environment. In this case risk of complications is high. Complications such as pulp necrosis and externalroot resorption are common. In this case reports we described a multiple avulsion of permanent teeth that resulted in complete root resorption. Case reports: A 13-year old female visited a Clinical Hospital Center two day after avulsion of three permanent upper incisors. Teeth were replanted and splinted approximately one hour after injury by oral surgeon in emergency. Splint was rigid and inappropriate placed on gingival margin. Gingival and oral mucosa laceration was present too. In our Clinic first treatment was a correction of rigid splint. After splinting period of 15 days, on teeth 12, 11 and 21 was performed a root canal treatment with obturation with gutta-percha. A X-ray follow-up examination show a external root resorption on all teeth, four months after treatment. Six months later a periradicular surgery was performed. The root resorption was continued and 60 months after injury teeth 12 and 11 was extracted and replacement with space maintainer. Comments: Although the teeth was replanted on the time, sometimes is difficult to prevent a root resorption and loss of teeth.

tooth avulsion; replantation; root resorption

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