Delayed replantation and reattachment of avulsed and fractured fragment of central incisors – Resurrecting the original

Abstract

While managing cases of trauma, the main goal is to effectively manage pain while promptly restoring function, appearance and phonetics. Even though all injuries require some sort of rapid care and management, tooth avulsion, is a unique type of injury where the prognosis is related to the amount of time that passes between the time the tooth is avulsed and when it is replanted. Excellent prognosis of avulsed tooth is achieved with immediate transplantation of the tooth, albeit this may not always be feasible. Even if delayed, replantation still remains the better option for management of avulsed tooth instead of replacing the natural tooth with an artificial one.Another such ultraconservative procedure that yields rapid, safe, and aesthetically acceptable outcomes for fractured tooth fragment management is reattachment; which is done with the help of advanced adhesive materials.The present case shows delayed replantation of avulsed maxillary central incisor and reattachment of the fractured tooth fragment of a 20 years male patient having a history of trauma 10 hours back with one year follow-up.