Treatment of Avulsed Tooth with Prolonged Extraoral Dry Time: Cases Report
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Abstract
The factors that affect the successful treatment of tooth avulsion are type of storage media, extraoral dry time, amount of periodontal ligament damaged and stage of root development. Extraoral dry time is an important factor which influence the vitality of periodontal cells, prolonged extraoral dry time caused more periodontal cell damaged. In this report, two cases of avulsed teeth with prolonged extraoral dry time more than 60 minutes were treated with dissimilar ages, protocols before replantation and revealed with different results. The first patient, a 10-year-old boy had tooth no.11,21 avulsion with 4 hours of extraoral dry time prior 6 hours immersed in plain milk, the teeth were replanted after soaking with normal saline only. The result showed the replanted tooth no.11 was 1millimeter infra-occlusion and both replanted teeth had external root resorption. The second patient, 22-year-old female had tooth no. 11 avulsion with overall 14 hours extraoral dry time. The avulsed tooth was immersed with 2% sodium fluoride solution 20 minutes before replantation. The result showed the replanted tooth healed normally with no ankylosis and root resorption. This report also included the discussion of management in two cases and the review of tooth avulsion treatment.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
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