title: Replantation as treatment for extrusive luxation.
abstract: In the treatment of extrusive luxation cases, it is important that the repositioning of extruded tooth in the socket is done as soon as possible. If this does not occur, periapical clot becomes organized and makes replantation difficult reposition. In this article the patient referred to the Clinics for dental trauma sustaining extrusive luxation of the maxillary right central incisor. The patient reported having suffered a bicycle accident 12 days before, which caused traumatic tooth injuries. The repositioning was attempted without success and an alternative form of treatment was necessary to solve the case. Intentional tooth replantation, which is the deliberate extraction of the tooth and its replantation, was indicated. This technique allows clot removal and correct repositioning of the extruded tooth. Care should be taken as endodontic treatment is required for the prevention of subsequent infection-related resorption. Intracanal dressing with calcium hydroxide was used for 30 days before final root filling. Splint, systemic antibiotics and avoidance of further damage to the root surface is also important. After 49 months, showed clinical and radiographic characteristics of normality and demonstrates the availability of this technique to adversity in trauma.
authors.affiliation: Department of Surgery and Integrated Clinics, Araçatuba Dental School, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
authors.forename: Elizane Ferreira
authors.initials: EF
authors.lastname: Hamanaka
authors.affiliation: Department of Surgery and Integrated Clinics, Araçatuba Dental School, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
authors.forename: Lamis Meorin
authors.initials: LM
authors.lastname: Nogueira
authors.affiliation: Department of Surgery and Integrated Clinics, Araçatuba Dental School, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
authors.forename: Willian Ricardo
authors.initials: WR
authors.lastname: Pires
authors.affiliation: Department of Surgery and Integrated Clinics, Araçatuba Dental School, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
authors.forename: Sônia Regina
authors.initials: SR
authors.lastname: Panzarini
authors.affiliation: Department of Surgery and Integrated Clinics, Araçatuba Dental School, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
authors.forename: Wilson Roberto
authors.initials: WR
authors.lastname: Poi
authors.affiliation: Department of Surgery and Integrated Clinics, Araçatuba Dental School, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
authors.forename: Celso Koogi
authors.initials: CK
authors.lastname: Sonoda
mesh_terms: D000293:Adolescent; D006801:Humans; D008297:Male; D014084:Tooth Avulsion / Q000601:surgery*; D014090:Tooth Replantation