Treatment of replacement resorption with Emdogain--preliminary results after 10 months.
Ankylosis of traumatized teeth in children and adolescents may inhibit further development and growth of the corresponding jawbone. Therefore, ankylosed teeth should be removed. As an alternative treatment option to autotransplantation of a premolar, intentional replantation using Emdogain may be considered, provided the ankylosis is detected at an early stage or has only affected a small area of the root. Eleven ankylosed teeth presenting with replacement resorption were treated as follows: after tooth extraction, the root canal was treated extraorally and obturated by retrograde insertion of a titanium post. Emdogain was applied to the root surface and into the extraction socket with subsequent replantation of the tooth. During a mean follow-up period of 6.3 months, no signs of recurrence of ankylosis were noted. The horizontally and vertically measured Periotest scores were identical to those obtained on the adjacent teeth. These results suggest that intentional replantation using Emdogain may prevent or delay ankylosis of these replanted teeth.
Filippi
A
A
Department of Oral Surgery, School of Dental Medicine, University of Berne, Switzerland. andreas.filippi@zmk.unibe.ch
Pohl
Y
Y
von Arx
T
T
D000293:Adolescent; D000844:Ankylosis / Q000601:surgery; D002648:Child; D003746:Dental Enamel Proteins / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D012184:Retrograde Obturation; D012390:Root Canal Therapy; D012391:Root Resorption / Q000628:therapy*; D014025:Titanium; D014076:Tooth Diseases / Q000601:surgery; D014081:Tooth Extraction; D018677:Tooth Injuries / Q000150:complications; D014090:Tooth Replantation / Q000009:adverse effects*; D014092:Tooth Root / Q000187:drug effects; D020390:Tooth Socket / Q000187:drug effects; D014182:Transplantation, Autologous
D003746:Dental Enamel Proteins; C109069:enamel matrix proteins; D014025:Titanium