Reimplanting Hope: Managing Dental Avulsion - A Case Report

The avulsion of permanent teeth involves the complete displacement of a tooth from its socket, commonly due to trauma. Successful outcomes depend on prompt intervention, proper handling, and preservation of periodontal ligament cells. Immediate reimplantation or storage in suitable media, followed by splinting and care, is essential. In this unique case, a ten-year-old female patient presented with avulsed teeth (31, 32, and 41) classified as Ellis Class V. The teeth were stored in saline, the sockets irrigated, and Platelet-Rich Fibrin (PRF) was placed. Reimplantation and flexible splinting were performed. .basically, the management of avulsion of permanent teeth primarily involves immediate reimplantation of the tooth into its socket. If reimplantation is impossible, the tooth should be stored in a suitable medium like milk, saline, or a specialized solution to preserve periodontal ligament cells. At one month, tooth 41 showed apical resorption, requiring root canal treatment, apicectomy, and application of zinc bioactive glass material. However, teeth 31 and 32 remained vital with mild mobility, showing the potential for successful. At eight months, the apexification of 41 with MTA was completed, further demonstrating the effectiveness of timely intervention. At 24 months, teeth 31, 32, and 42 exhibited vitality and stability with no signs of resorption, Avulsed teeth always require stabilization to maintain the replanted tooth in its correct position. Timely intervention, appropriate management, and advanced dental procedures are critical in managing avulsion injuries.