A retrospective clinical and radiologic study of teeth re-implanted following traumatic avulsion

Endod Dent Traumatol. 1995 Oct;11(5):235-9. doi: 10.1111/j.1600-9657.1995.tb00495.x.

Abstract

Re-implantation is the recommended therapeutic procedure following traumatic exarticulation of teeth though its long-term prognosis remains controversial. The purpose of the following study was to evaluate the periodontal healing of 33 reimplanted incisors lost after trauma. The sample, which included 24 upper and 9 lower incisors, was divided in two groups: 15 teeth were reimplanted within 1 hour (=Group A) and 21 teeth after 3 hours or more (=Group B). The reimplanted teeth were followed for different radiographic evaluation periods up to 5 years (mean=2-9 years). The results showed a high rate of periodontal healing in Group A (66.7%), while Group B demonstrated a high percentage (83.3%) of both inflammatory and replacement resorption. Thus, even if the whole sample was prevented from drying before reimplantation, the teeth were affected by different rates of root resorption. Among the various prognostic factors suggested by the literature, bacterial contamination during extra-alveolar storage seemed the most critical.

MeSH terms

  • Adolescent
  • Child
  • Dental Pulp Diseases / diagnostic imaging
  • Dental Pulp Diseases / etiology*
  • Dental Pulp Diseases / prevention & control
  • Dental Pulp Necrosis / etiology
  • Dental Pulp Necrosis / prevention & control
  • Female
  • Humans
  • Incisor / diagnostic imaging
  • Incisor / injuries*
  • Male
  • Periodontium / diagnostic imaging
  • Periodontium / physiology
  • Radiography
  • Retrospective Studies
  • Root Resorption / diagnostic imaging
  • Root Resorption / etiology*
  • Time Factors
  • Tooth Avulsion / surgery*
  • Tooth Replantation* / adverse effects
  • Treatment Outcome
  • Wound Healing