Replantation: Is the Glory Well Deserved?

Pooja Kapoor, Harpreet Singh* and Jagvinder Singh Mann

Replantation: Is the Glory Well Deserved?

The orthodontic practitioner often encounters patients who have traumatically avulsed maxillary central incisors in daily practice.

People having more than normal overjet are known to be at double
the risk as compared to those who have a normal overjet.

Unfortunately, in these situations, certain decisions ought to be made hurriedly as incisor
avulsion classically takes place by accident most commonly in these patients.

In such a situation, the straightforward and lasting way out considered is to reimplant it,
the success depending on tooth root, endodontics performing ability
and the time lapsed since avulsion.

Many of these teeth do not last beyond 5 to 7 years even after a root canal
therapy. If avulsed tooth is lost/damaged, autotransplantation can be done in
patients with tooth size arch length discrepancy, as typically seen in the Class II cases.

Owing to the deficient incisor, the consequent alveolar defect is extensive which renders this
site tough unfavorable for restoration by implants. Reimplanted teeth might ankylose. Evidently, such a tooth does not erupt.

However, as in Case I with rotated tooth and large periapical lesion, prognosis is poor. The assessment of an alternative for the space in question turns out to be the instantaneous
apprehension of the suffering child and his/her family along with
the concerned dentist or orthodontist. A classic way out is to construct a temporary removable prosthesis to aid in perking up both aesthetics and function.

Dent Open J. 2018; 5(1): 30-33. doi: 10.17140/DOJ-5-139