Root surface conditioning in closed apex avulsed teeth: a clinical concept and case report.
In an avulsed tooth with an open apex, a recommended procedure is to coat the root surface with topical doxycycline before reimplantation. Doxycycline, a derivative of the tetracycline family, has an antibacterial effect and anti-inflammatory qualities, and is effective in reducing inflammatory and replacement resorption following dental trauma. Treating the root surface of an avulsed closed apex tooth is a rational and recommended procedure. A case is presented in which an avulsed closed apex tooth, conditioned with topical doxycycline, was reimplanted in the socket. At follow-up, 16 months later, no clinical signs and symptoms were present and radiographic evaluation showed only superficial root surface resorption and an intact PDL.
Shaul
Lin
L
Endodontics and Dental Trauma Unit, Department of Oral and Dental Medicine, Rambam Medical Center, Haifa, Israel. sh_lin@rambam.health.gov.il
Omri
Emodi
E
Zuckerman
O
O
Imad
Abu El-Naaj
Ael-N
D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D003481:Cuspid / Q000293:injuries; D004318:Doxycycline / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries*; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012389:Root Canal Obturation / Q000379:methods; D018915:Root Canal Preparation / Q000379:methods; D013165:Splints; D019227:Tooth Apex / Q000187:drug effects*; D014084:Tooth Avulsion / Q000601:surgery*; D014090:Tooth Replantation / Q000379:methods*; D014092:Tooth Root / Q000187:drug effects*; D020390:Tooth Socket / Q000601:surgery; D014094:Tooth, Deciduous / Q000293:injuries
D000900:Anti-Bacterial Agents; D012387:Root Canal Filling Materials; D004318:Doxycycline