Journal of Dental, Oral and Maxillofacial Research  ( ISSN : 3064-9129 )

Research Article - Volume 1, Issue 1 (2023)

Nine-Year Follow-Up on the Long-Term Outcome of an Avulsed Immature Mandibular Incisor with Progressive External Root Resorption

Lina Mickeviciene*, Vestina Ciruliene, Greta Lodiene

Clinic of Dental and Oral Pathology Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania  

*Correspondence: Lina Mickeviciene, Clinic of Dental and Oral Pathology Faculty of Odontology, Lithuanian University of  Health Sciences, Kaunas, Lithuania. E-mail: linamickeviciene25@gmail.com

Received: May 10, 2023; Accepted: June 18, 2023; Published: June 25, 2023

Citation: Mickeviciene L, Ciruliene V, Lodiene  G. Nine-Year Follow-Up on the Long-Term Outcome of an Avulsed Immature Mandibular Incisor with Progressive External Root Resorption. J Dent Oral Maxillofac Res. 2023;1(1):23-26.

Copyright: © 2023 Mickeviciene L. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ABSTRACT 

Background: The avulsion of permanent teeth is the most common in young permanent dentition. Replantation of immature teeth after avulsion represents a major challenge in treatment management and long–term prognosis.  His case report describes 9 years of follow-up for an avulsed and replanted immature mandibular lateral incisor with progressive external root resorption.

Methods: A 7-year-old patient following an accident in which his mandibular left central incisor was avulsed and replanted within one hour after being stored in a physiological storage medium. However, a radiographic examination conducted six weeks after the dental injury revealed inflammatory root resorption of the replanted tooth #31. To address root resorption,  endodontic treatment was performed involving the use of calcium hydroxide as an intracanal medication for a short time,  followed by root canal obturation with mineral trioxide aggregate placed below the crystal bone margin.

Results: Three months later the root resorption had progressed. Consequently, a decision was made to perform periodontal surgery. While the long-term follow-up revealed that the inflammatory root resorption had damaged half of the root, the tooth remained functional and aesthetically favorable.

Conclusions: Despite the challenges associated with an immature tooth following avulsion, this case demonstrated favourable outcomes. The tooth maintained its functionality and exhibited a fa aesthetic, and the dimensions of the alveolar ridge were preserved, allowing for the physiological expansion of the dental arch.

Keywords: Etiology; Mandible; Root resorption; Tooth avulsion; Tooth injuries; Tooth replantation.