PMC3533607_01
Preoperative radiograph showing 36, 37 and 38.
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fig1
Conservative Dentistry with a chief complaint of caries with 37 and food impaction in relation to 37 and 38. Clinical and radiographic examination (Figure 1) revealed caries on the distal aspect of 37 encroaching into the pulp space with resorbed distal root and a mesioangular impaction of 38.
Extracted teeth 37, 38.
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fig2
Patient was prescribed 1000 mg Amoxycillin one hour before surgery to prevent infection and 400 mg of Ibuprofen was prescribed to prevent post-treatment pain. 37 and 38 were extracted atraumatically (Figure 2) without damaging the buccal and lingual cortical plates.
After transplantation and splinting.
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Nonrigid intraradicular occlusal splinting with malleable orthodontic wire and composite resin was done from 35 to 37 (Figure 3).
1-year recall radiograph.
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fig4
At the 1-year followup, radiographic examination revealed healing of the site (Figure 4).