Severe Case of Delayed Replantation of Avulsed Permanent Central Incisor: A Case Report with Four-Year Follow-Up

• Main Authors: Luísa Bandeira Lopes, João Botelho, Vanessa Machado
• Format: Article
• Language: English
• Published: MDPI AG 2020-09-01
• Series: Medicina
• Subjects: avulsion; replantation; dental traumatology; dental trauma; periodontal tissues; oral health
• Online Access: https://www.mdpi.com/1010-660X/56/10/503

Avulsion is one of the most serious dental traumatic injuries with a reserved prognosis. This case report describes multiple trauma lesions in permanent central incisors of an eight-year-old girl and a four-year follow-up. The right upper incisor suffered avulsion, remained 16 h extraorally, and was replanted after extraoral endodontic therapy. The left maxillary central incisor suffered a noncomplicated crown fracture with concomitant subluxation. The present case adds to the literature a rare occurrence of success in a severe case with poor prognosis. For this reason, the International Association for Dental Traumatology (IADT) guidelines should be followed and, even in extreme situations, replantation should always be considered.