Clinical evidence and literature to compare two different therapeutic protocols in tooth avulsion.
OBJECTIVE
This is to assess the priority in tooth avulsion: replantation as quickly as possible and deferred endodontic treatment, or replantation and elimination of every irritating stimulus for the periodontal ligament. The objective is to establish a univocal protocol by analysing and comparing the various components of these therapeutic procedures.


METHODS



METHODS
20 patients were selected and divided into 2 groups: in group A we focused our attention on the rapidity of replantation, in group B we focused on the elimination of the necrotic pulp and every possible irritating stimulus that might lead to root resorption of inflammatory nature.


RESULTS
Clinically, dental mobility seems to be greater in the first group. However after 15 days teeth have a comparable mobility and after one month they all show a mobility degree 1. Radiographically a greater incidence of resorption can be observed in group A compared to group B as in the first one a higher number of replanted teeth undergo resorption. Such lesions have the tendency to remain constant or even increase.


CONCLUSIONS
The results of this study seem to take only one direction: extraoral endodontic therapy.
Giannetti
L
L
University of Modena and Reggio Emilia, School of Dentistry, Department of Paediatric Dentistry, Italy. giannetti.luca@unimore.it
Murri
A
A
D002985:Clinical Protocols; D019091:Critical Pathways; D003790:Dental Pulp Necrosis / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D010516:Periodontal Splints; D012390:Root Canal Therapy / Q000379:methods; D012391:Root Resorption / Q000517:prevention & control; D014084:Tooth Avulsion / Q000628:therapy*; D014086:Tooth Mobility / Q000517:prevention & control; D014090:Tooth Replantation