Indirect replantation post trauma of immature teeth in children

Introduction: Traumatic injuries to the dentition are frequently seen in children and young adults. One of the most complex forms of dental trauma is avulsion, which usually affects the maxillary central incisors between the ages of 7 and 10, during the early stages of permanent dentition. An avulsion can result in gingival injury, total rupture of the periodontal ligament, or complete loss of connection between the tooth and the socket. Case History: An 8-year-old girl was referred to the IGD RSKGM-P Airlangga Surabaya, complained that her upper tooth was loose from its socket after falling from a bike around 5 hours prior. The tooth had been soaked in milk for an hour before the patient went to the hospital. Discussion: Replacing missing teeth as soon as feasible is the best course of action after an avulsion injury. The dental prognosis is influenced by the extraoral time, root maturity, and storage of the avulsed tooth. To prevent infection, trigger an inflammatory response, and promote root resorption, endodontic therapy may be carried out prior to replantation if the extraoral dry period beyond sixty minutes (Golden Period). For patients with avulsion injuries, prompt intervention, suitable treatment plans, and skilled emergency management are crucial to the outcome. The tooth is routinely examined after replantation to look for indications of ankylosis, resorption, mobility, and vitality. Conclusion: Replantation preserves the patient's appearance and functionality; it is regarded as the best course of action for treating an avulsed tooth.