Novel Management of Avulsed Tooth by Pulpal and Periodontal Regeneration
Abstract Introduction: The avulsion of anterior teeth of young children is a tragic occurrence and often presents an unparalleled challenge for the dentist. Reimplantation is the state-of-the-art treatment but may incur several complications, particularly with inappropriate posttraumatic management....
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| Veröffentlicht in: | Journal of endodontics 2013-12, Vol.39 (12), p.1658-1662 |
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| container_issue | 12 |
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| container_title | Journal of endodontics |
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| creator | Johns, Dexton Antony, MDS Shivashankar, Vasundara Yayathi, MDS Maroli, Ramesh Kumar, MDS Vidyanath, Surendran, MDS |
| description | Abstract Introduction: The avulsion of anterior teeth of young children is a tragic occurrence and often presents an unparalleled challenge for the dentist. Reimplantation is the state-of-the-art treatment but may incur several complications, particularly with inappropriate posttraumatic management. Methods: In this article we report the emergency and rehabilitation treatment of an avulsed maxillary anterior tooth by using platelet-rich fibrin. The osteoconductive and osteoinductive properties of platelet-rich fibrin were used to stimulate pulpal and periodontal regeneration. Results: During follow-up, no clinical signs and symptoms were present. After the initial 6 months, no further bone loss and attachment loss were observed. The tooth remained functional and was aesthetically acceptable. Conclusions: When a tooth is avulsed, attachment damage and pulp necrosis occur. Viable periodontal ligament cells are often left on most of the root surface. If the periodontal ligament that is left attached to the root surface does not dry out, the consequences of tooth avulsion are usually minimal. |
| doi_str_mv | 10.1016/j.joen.2013.08.012 |
| format | Article |
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Reimplantation is the state-of-the-art treatment but may incur several complications, particularly with inappropriate posttraumatic management. Methods: In this article we report the emergency and rehabilitation treatment of an avulsed maxillary anterior tooth by using platelet-rich fibrin. The osteoconductive and osteoinductive properties of platelet-rich fibrin were used to stimulate pulpal and periodontal regeneration. Results: During follow-up, no clinical signs and symptoms were present. After the initial 6 months, no further bone loss and attachment loss were observed. The tooth remained functional and was aesthetically acceptable. Conclusions: When a tooth is avulsed, attachment damage and pulp necrosis occur. Viable periodontal ligament cells are often left on most of the root surface. If the periodontal ligament that is left attached to the root surface does not dry out, the consequences of tooth avulsion are usually minimal.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2013.08.012</identifier><identifier>PMID: 24238468</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Alveolar Bone Loss - prevention & control ; Apicoectomy - methods ; Avulsion ; Blood Platelets - physiology ; Dental Pulp - physiology ; Dental Pulp Necrosis - prevention & control ; Dentistry ; Endocrinology & Metabolism ; Fibrin - therapeutic use ; Follow-Up Studies ; Humans ; Incisor - injuries ; Male ; periodontal ; Periodontal Attachment Loss - prevention & control ; Periodontal Ligament - physiology ; platelet-rich fibrin ; pulpal ; regeneration ; Regeneration - physiology ; Retrograde Obturation - methods ; Root Canal Preparation - methods ; Splints ; Tooth Avulsion - therapy ; Tooth Replantation - methods</subject><ispartof>Journal of endodontics, 2013-12, Vol.39 (12), p.1658-1662</ispartof><rights>American Association of Endodontists</rights><rights>2013 American Association of Endodontists</rights><rights>Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-655bb93913221a530c39aa5d49172b72b1e07c237baf1828e38d8d6d59359fb3</citedby><cites>FETCH-LOGICAL-c411t-655bb93913221a530c39aa5d49172b72b1e07c237baf1828e38d8d6d59359fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joen.2013.08.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24238468$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johns, Dexton Antony, MDS</creatorcontrib><creatorcontrib>Shivashankar, Vasundara Yayathi, MDS</creatorcontrib><creatorcontrib>Maroli, Ramesh Kumar, MDS</creatorcontrib><creatorcontrib>Vidyanath, Surendran, MDS</creatorcontrib><title>Novel Management of Avulsed Tooth by Pulpal and Periodontal Regeneration</title><title>Journal of endodontics</title><addtitle>J Endod</addtitle><description>Abstract Introduction: The avulsion of anterior teeth of young children is a tragic occurrence and often presents an unparalleled challenge for the dentist. Reimplantation is the state-of-the-art treatment but may incur several complications, particularly with inappropriate posttraumatic management. Methods: In this article we report the emergency and rehabilitation treatment of an avulsed maxillary anterior tooth by using platelet-rich fibrin. The osteoconductive and osteoinductive properties of platelet-rich fibrin were used to stimulate pulpal and periodontal regeneration. Results: During follow-up, no clinical signs and symptoms were present. After the initial 6 months, no further bone loss and attachment loss were observed. The tooth remained functional and was aesthetically acceptable. Conclusions: When a tooth is avulsed, attachment damage and pulp necrosis occur. Viable periodontal ligament cells are often left on most of the root surface. If the periodontal ligament that is left attached to the root surface does not dry out, the consequences of tooth avulsion are usually minimal.</description><subject>Adolescent</subject><subject>Alveolar Bone Loss - prevention & control</subject><subject>Apicoectomy - methods</subject><subject>Avulsion</subject><subject>Blood Platelets - physiology</subject><subject>Dental Pulp - physiology</subject><subject>Dental Pulp Necrosis - prevention & control</subject><subject>Dentistry</subject><subject>Endocrinology & Metabolism</subject><subject>Fibrin - therapeutic use</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incisor - injuries</subject><subject>Male</subject><subject>periodontal</subject><subject>Periodontal Attachment Loss - prevention & control</subject><subject>Periodontal Ligament - physiology</subject><subject>platelet-rich fibrin</subject><subject>pulpal</subject><subject>regeneration</subject><subject>Regeneration - physiology</subject><subject>Retrograde Obturation - methods</subject><subject>Root Canal Preparation - methods</subject><subject>Splints</subject><subject>Tooth Avulsion - therapy</subject><subject>Tooth Replantation - methods</subject><issn>0099-2399</issn><issn>1878-3554</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUGL1TAUhYMozpvRP-BCunTTmps0bQIiDIM6A6MO-hbuQprcjql9yZukffD-vS1vdOFCuHC5cM6B-x1CXgGtgELzdqiGiKFiFHhFZUWBPSEbkK0suRD1U7KhVKmScaXOyHnOA6XQct4-J2esZlzWjdyQ6y_xgGPx2QRzjzsMUxH74vIwjxldsY1x-ll0x-JuHvdmLExwxR0mH10M03J_w3sMmMzkY3hBnvVmcb183Bdk-_HD9uq6vP366ebq8ra0NcBUNkJ0neIKOGNgBKeWK2OEqxW0rFsGkLaW8bYzPUgmkUsnXeOE4kL1Hb8gb06x-xQfZsyT3vlscRxNwDhnDbVQoqmZahYpO0ltijkn7PU--Z1JRw1UrwD1oFeAegWoqdQLwMX0-jF_7nbo_lr-EFsE704CXJ48eEw6W4_BovMJ7aRd9P_Pf_-P3Y4-eGvGX3jEPMQ5hQWfBp2Zpvr7WuHaIHBKW8Z-8N_CFZVg</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Johns, Dexton Antony, MDS</creator><creator>Shivashankar, Vasundara Yayathi, MDS</creator><creator>Maroli, Ramesh Kumar, MDS</creator><creator>Vidyanath, Surendran, MDS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131201</creationdate><title>Novel Management of Avulsed Tooth by Pulpal and Periodontal Regeneration</title><author>Johns, Dexton Antony, MDS ; Shivashankar, Vasundara Yayathi, MDS ; Maroli, Ramesh Kumar, MDS ; Vidyanath, Surendran, MDS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-655bb93913221a530c39aa5d49172b72b1e07c237baf1828e38d8d6d59359fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Alveolar Bone Loss - prevention & control</topic><topic>Apicoectomy - methods</topic><topic>Avulsion</topic><topic>Blood Platelets - physiology</topic><topic>Dental Pulp - physiology</topic><topic>Dental Pulp Necrosis - prevention & control</topic><topic>Dentistry</topic><topic>Endocrinology & Metabolism</topic><topic>Fibrin - therapeutic use</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incisor - injuries</topic><topic>Male</topic><topic>periodontal</topic><topic>Periodontal Attachment Loss - prevention & control</topic><topic>Periodontal Ligament - physiology</topic><topic>platelet-rich fibrin</topic><topic>pulpal</topic><topic>regeneration</topic><topic>Regeneration - physiology</topic><topic>Retrograde Obturation - methods</topic><topic>Root Canal Preparation - methods</topic><topic>Splints</topic><topic>Tooth Avulsion - therapy</topic><topic>Tooth Replantation - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johns, Dexton Antony, MDS</creatorcontrib><creatorcontrib>Shivashankar, Vasundara Yayathi, MDS</creatorcontrib><creatorcontrib>Maroli, Ramesh Kumar, MDS</creatorcontrib><creatorcontrib>Vidyanath, Surendran, MDS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johns, Dexton Antony, MDS</au><au>Shivashankar, Vasundara Yayathi, MDS</au><au>Maroli, Ramesh Kumar, MDS</au><au>Vidyanath, Surendran, MDS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel Management of Avulsed Tooth by Pulpal and Periodontal Regeneration</atitle><jtitle>Journal of endodontics</jtitle><addtitle>J Endod</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>39</volume><issue>12</issue><spage>1658</spage><epage>1662</epage><pages>1658-1662</pages><issn>0099-2399</issn><eissn>1878-3554</eissn><abstract>Abstract Introduction: The avulsion of anterior teeth of young children is a tragic occurrence and often presents an unparalleled challenge for the dentist. Reimplantation is the state-of-the-art treatment but may incur several complications, particularly with inappropriate posttraumatic management. Methods: In this article we report the emergency and rehabilitation treatment of an avulsed maxillary anterior tooth by using platelet-rich fibrin. The osteoconductive and osteoinductive properties of platelet-rich fibrin were used to stimulate pulpal and periodontal regeneration. Results: During follow-up, no clinical signs and symptoms were present. After the initial 6 months, no further bone loss and attachment loss were observed. The tooth remained functional and was aesthetically acceptable. Conclusions: When a tooth is avulsed, attachment damage and pulp necrosis occur. Viable periodontal ligament cells are often left on most of the root surface. If the periodontal ligament that is left attached to the root surface does not dry out, the consequences of tooth avulsion are usually minimal.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24238468</pmid><doi>10.1016/j.joen.2013.08.012</doi><tpages>5</tpages></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Adolescent Alveolar Bone Loss - prevention & control Apicoectomy - methods Avulsion Blood Platelets - physiology Dental Pulp - physiology Dental Pulp Necrosis - prevention & control Dentistry Endocrinology & Metabolism Fibrin - therapeutic use Follow-Up Studies Humans Incisor - injuries Male periodontal Periodontal Attachment Loss - prevention & control Periodontal Ligament - physiology platelet-rich fibrin pulpal regeneration Regeneration - physiology Retrograde Obturation - methods Root Canal Preparation - methods Splints Tooth Avulsion - therapy Tooth Replantation - methods |
| title | Novel Management of Avulsed Tooth by Pulpal and Periodontal Regeneration |
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