PMC4355813_01
Avulsion of the left upper incisor.
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The intraoral examination revealed that the maxillary left permanent central incisor (tooth 21) was avulsed (Figure 1).
Splinting of the avulsed tooth with orthodontic wire and composite resin.
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Monrovia, CA, USA) and the acid-etch composite resin technique (Clearfil Majesty Esthetic, Kuraray, Tokyo, Japan) (Figures 2 and 3). Moreover, oral hygiene instructions and advice about a soft diet and the need to use a chlorhexidine (Klorhex, Drogsan, Ankara, Turkey) mouth rinse during the stabilization period were provided at this time.
Periapical radiograph after immediate replantation of avulsed tooth.
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Monrovia, CA, USA) and the acid-etch composite resin technique (Clearfil Majesty Esthetic, Kuraray, Tokyo, Japan) (Figures 2 and 3). Moreover, oral hygiene instructions and advice about a soft diet and the need to use a chlorhexidine (Klorhex, Drogsan, Ankara, Turkey) mouth rinse during the stabilization period were provided at this time.
Frontal view, 18 months after trauma, slight infraposition of avulsed tooth.
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fig4
During an 18-month follow-up period, the replanted tooth remained in a stable, functional position but showed initial replacement resorption, ankylosis, and approximately 0.5 mm infraocclusion (Figures 4 and 5).
18-months follow-up of replanted tooth.
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During an 18-month follow-up period, the replanted tooth remained in a stable, functional position but showed initial replacement resorption, ankylosis, and approximately 0.5 mm infraocclusion (Figures 4 and 5).
PMC4355813_02
Avulsion of the right upper incisor.
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The intraoral examination revealed that the maxillary right permanent central incisor (tooth 11) was avulsed (Figure 6).
Splinting of the avulsed tooth with orthodontic wire and composite resin.
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A periapical radiograph was taken to ensure that the tooth had been correctly positioned in the socket (Figure 7).
Periapical radiograph after replantation of avulsed tooth.
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The teeth were splinted from canine to canine with a flexible splint (0.195 inch round twist-flex arch wires) (Figure 8).
Frontal view, 12 months after trauma.
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During the 12-month follow-up, clinical and radiographic examinations showed satisfactory functional and esthetic values for the avulsed tooth but some initial resorption and ankylosis with no infraocclusion (Figures 9 and 10).
No pathology and resorption, 12-month radiographic examination.
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fig10
During the 12-month follow-up, clinical and radiographic examinations showed satisfactory functional and esthetic values for the avulsed tooth but some initial resorption and ankylosis with no infraocclusion (Figures 9 and 10).