Replantation in adolescents: a case report

Abstract

Background: Tooth loss as a result of trauma most often affects young people, especially in the summer time. Implantation is considered the correct method of proceeding in the case of missing teeth. However, it is not indicated in this age group due to the constantly developing skeletal system and the change in spatial relations in the stomatognathic system. A more favorable, but less likely to be successful, method is replantation, which is more dependent on patient compliance.

Objectives: presentation of the clinical procedure in the case of avulsed tooth 21, with particular emphasis on the time and method of providing first aid.

Methods: a case report based on an anamnesis and physical examination with the use of medical records, including radiological records, of a 14-year-old boy after an injury.

Conclusions: The most important factors determining the success of the replantation procedure are: the time from the injury to contact with the dentist, and storage medium of an avulsed tooth. Both are only dependent on the person who has been injured or the guardian of minors. For this reason, it is important to raise public awareness of first aid in dentistry. Successful replantation of a tooth that has been outside the socket for more than 60 minutes may be associated with complications such as ankylosis or root resorption. However, even in case of the above- mentioned sequelae, the profit and loss balance is favorable, because the replanted tooth prevents bone loss, which is crucial due to future implantation, and the possible development of ankylosis in the developmental age can be treated with the decoronation procedure.