Nizar Mujallid
Saudi Board of Pediatric Dentistry, Jeddah, Saudi Arabia
Title: Delayed Replantation of Avulsed Teeth
Biography
Biography: Nizar Mujallid
Abstract
Avulsion of permanent teeth is one of the most serious dental injuries. It is seen in 0.5–3% of all dental injuries. The maxillary central incisor is the most frequently avulsed tooth in the permanent dentition, and the most frequently involved age group is 7-10 years. Increased overjet and incompetent lips were identified as potential etiological factors in such avulsion cases. Although avulsion usually involves a single tooth, tooth-supporting tissue injuries, lip injuries, and multiple avulsions have also been documented. The success of replantation depends on the patient’s general health, the maturity of the root, the time the tooth is out of its socket, and storage medium. The period of extra-oral time and the storage medium have the most critical effect on the status of the PDL cells. Although complications like ankylosis or root resorption may be unavoidable, delayed replantation of avulsed tooth may be a good alternative to prosthesis (implant or fixed partial denture) till the growth is completed due to preservation of the alveolar bone and psychological benefit to the patient. Efforts should be made to educate and update children, teachers and parents regarding management of avulsed tooth at accident site and also the dentists regarding its management in dental office.