Clinical evidence and literature to compare two different therapeutic protocols in tooth avulsion

Authors:

ABSTRACT

Aim

This is to assess the priority in tooth avulsion: replantation as quickly as possible and deferred endodontic treatment, or
replantation and elimination of every irritating stimulus for the periodontal ligament. The objective is to establish a univocal protocol by
analysing and comparing the various components of these therapeutic procedures.

Methods

Study design: 20
patients were selected and divided into 2 groups: in group A we focused our attention on the rapidity of replantation, in group B we
focused on the elimination of the necrotic pulp and every possible irritating stimulus that might lead to root resorption of inflammatory
nature.

Results

Clinically, dental mobility seems to be greater in the first group. However after 15 days teeth have a comparable
mobility and after one month they all show a mobility degree 1. Radiographically a greater incidence of resorption can be observed in
group A compared to group B as in the first one a higher number of replanted teeth undergo resorption. Such lesions have the tendency
to remain constant or even increase. CONCLUSIONS: The results of this study seem to take only one direction: extraoral endodontic
therapy.

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