Replantation of young permanent teeth: Techniques and Management of traumatic pulp exposure

Introduction: Dental traumatology is one of the most challenging pediatric treatment aspects. Avulsion of young permanent teeth is a rare and serious traumatic dental injury that needs immediate and complex management. Tooth avulsion is a severe dental trauma defined by complete displacement of the tooth out of its alveolar socket. The primary approach to managing such cases is tooth replantation. The management of replanting the tooth according by the guideline such as the extra oral time which should be very short, the time of pulp removal after replantation, and the appropriate storage medium. Case History: A 9-year-old male presented with history of fall from the slide he played and injuries sustained to the maxillary region. He was referred to the IGD RSKGM-P Airlangga Surabaya and complained that his upper tooth was loose from its socket around 2 hours of trauma. The tooth was soaked in normal saline. Discussion: The optimal treatment option following an avulsion injury is to replant the avulsed tooth immediately. The duration of the extraoral period and the storage conditions of the tooth significantly influence the prognosis. The prognosis for avulsion injuries is highly dependent on timely intervention, appropriate treatment planning and techniques, and effective emergency management. Post-replantation, regular monitoring is essential to assess for ankylosis, resorption, mobility, and vitality of the tooth. Conclusion: Successful replantation of young permanent teeth with traumatic pulp exposure relies on timely intervention, proper technique, and careful postoperative management.