Replantation of 3 avulsed permanent teeth: case report

Introduction: Dental avulsion is a serious dental injury which leads to complete displacement of the tooth out of the socket. Reimplantation is the most common and standard treatment for avulsed teeth. The success of the treatment depends upon the status of periodontium, including other factors such as extra-oral dry time, storage media and contamination. Delay in the replantation of avulsed teeth can increase the risk of ankylosis and resorption. Case presentation: This case report presented a 15-year-old boy with avulsion of 3 permanent teeth to a 1-year-follow up after the replantation of avulsed both maxillary central incisors and left lateral incisor with extra-oral dry time of more than 60 minutes. The avulsed teeth were managed throughout as per treatment guidelines. The teeth were replanted and splinted for four weeks. Two months after the replantation, there were signs of replacement root resorption in the replanted teeth. Conclusion: The treatment plan followed in this case has the advantage of maintaining the patient’s esthetic appearance and function. On 1 year follow-up clinical and radiographic examination, the replanted teeth were showing signs of resorption.