Delayed tooth replantation after traumatic avulsion of a maxillary incisor: A case report

Abstract

Tooth avulsion is a severe dental injury impacting the pulp tissue, periodontal ligament, and alveolar bone. This condition occurs most frequently in individuals under the age of 19, with the maxillary anterior teeth being particularly susceptible. Managing an avulsed permanent tooth presents significant clinical challenges. Replantation, defined as the reinsertion and temporary stabilization of a tooth dislodged by traumatic injury, requires careful consideration of several factors. The prognosis of replantation is directly influenced by the physiological condition of the periodontal ligament, the manner in which the avulsed tooth is handled extra-orally, the stage of root development, the duration of extraoral dry time, and the type of storage medium used. This report presents a case of delayed replantation of an avulsed tooth following an extended period of dry storage. The tooth underwent endodontic treatment, splinting, and, after adequate follow-up, orthodontic rehabilitation.