Management of avulsed permanent incisors with closed apices and prolonged extraoral dry time

This article reports the clinical management and outcome of two avulsed permanent incisors that were kept dry for 42 hours. Dental trauma guidelines were followed and clinically successful outcomes were seen until seven months of follow-up. The factors contributing to successful management of this case despite the extreme clinical circumstances were attributed to pulp extirpation prior to replantation, doxycycline soak, fluoride soak, and timely endodontic treatment. Recent advances and alternate treatment modalities reported in literature are evaluated in the discussion.