Delayed replantation of immature avulsed teeth: Two case report

Introduction: Dental avulsion is the removal of the entire tooth from the socket. Treatment of dental avulsion replantation should be done immediately but cases of delayed replantation can still be done. Case Report: Two 9-year-old children experiencing an avulsion of maxillary left central incisor. The extraoral dry time were prolonged. Treatment guideline for avulsed immature permanent tooth with prolonged extraoral dry time were carried out and the endodontic treatment were performed extraorally. MTA was used to close the open apex. Wire with composite was used on case I, whereas fibre reinforced composite was used on case II. Radiographic controls revealed replacement resorption. Both teeth remained in a stable dan functional position. Discussion: On delayed replantation, the endodontics treatment may be done prior to replantation or after the replantation. MTA can be used to coated the root tip. It is suggested to use semi-rigid splinting on dental avulsion case. Although the prognosis for delayed replantation cases is doubtful, the goal of this treatment is to preserve the surrounding teeth and bone for several years. Conclusion: Delayed replantation was still carried out in these cases to maintain aesthetic function, occlusion function, prevent the resorption of alveolar bone.