Treatment of extrusive luxation by intentional replantation.
BACKGROUND
The accepted treatment for extrusive luxation is repositioning of the extruded tooth at the earliest possible opportunity.


METHODS
Repositioning was not possible in a patient who presented for treatment 4 days after the accident, and therefore, an intentional replantation was performed instead. The tooth was carefully extracted, the blood clot removed from the alveolus and the tooth was then replanted.


CONCLUSIONS
Intentional replantation involves the deliberate removal of a tooth and its reinsertion into the alveolus almost immediately afterwards. It is now an accepted endodontic procedure. The favourable outcome of this case suggests that intentional replantation of severely extruded teeth may be a treatment option in cases where the tooth cannot be repositioned and if treatment conditions are adequately followed.
Martins
Wilson Denis
WD
Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil. w.denis@pucpr.br
Westphalen
Vania Portela Ditzel
VP
Perin
Camila Paiva
CP
Da Silva Neto
Ulisses Xavier
UX
Westphalen
Fernando Henrique
FH
D000293:Adolescent; D005260:Female; D006801:Humans; D012390:Root Canal Therapy; D014084:Tooth Avulsion / Q000601:surgery*; D014090:Tooth Replantation