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MINERVA STOMATOLOGICA

A Journal on Dentistry and Maxillofacial Surgery


Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
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Minerva Stomatologica 2010 May;59(5):291-8

language: English, Italian

An eleven-year case report of an avulsed ma-xillary central incisor after delayed replantation

Balleri P., Veltri M., Ferrari M.

Department of Odontostomatologic Sciences, University of Siena, Siena, Italy


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A 12 year-old girl presented with an avulsed maxillary central incisor for a trauma occurred two days earlier. The avulsed tooth was endodontically treated and replanted. Regardless of the ankylosis and replacement root resorption the tooth was retained for a very favourable nine-year period after trauma. In addition no severe infraposition occurred. When the extraction was necessary, despite the slight atrophy, as a result of compromised alveolar bone development due to ankylosis, an implant-supported crown was placed as definitive rehabilitation without recourse to bone augmentation procedures. In conclusion, delayed replantation in children will require long-term therapeutic commitment. In favourable cases, tooth with delayed replantation might be retained for a very long time thus avoiding the bone atrophy that would have accompanied early tooth loss and, consequently, reducing grafting requirements when a definitive implant-supported restoration will be required.

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balleri2@unisi.it