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VOLUME 18 , ISSUE 1 ( January, 2017 ) > List of Articles

CASE REPORT

Swinging Replantation: A Possible Protocol for the Management of Inverted Impacted Upper Central Incisor Tooth

Seidu A Bello, Deborah J Enebong, Emeka V Obi

Citation Information : Bello SA, Enebong DJ, Obi EV. Swinging Replantation: A Possible Protocol for the Management of Inverted Impacted Upper Central Incisor Tooth. J Contemp Dent Pract 2017; 18 (1):69-73.

DOI: 10.5005/jp-journals-10024-1992

Published Online: 01-01-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Inverted tooth impaction is a rare occurrence. Third molar impaction is the most extensively studied, and only eight cases of inverted third molars have been reported in a literature search of 40 years from 1973 to 2013. In a study, 43.4% of the premaxillary supernumeraries were inverted and 21.1% were transversely oriented, while occasional inverted central incisors have been mentioned in the literature. Severe dilaceration makes the management of this case a big challenge. The case of an 8-year-old boy with an inverted, rotated, and impacted upper left central incisor obstructed by an odontome is presented here. Under local anesthesia, the odontome was excised; the inverted tooth was swung and repositioned. The patient experienced uneventful healing, and with 30 months follow-up, progressive tooth eruption has been observed. Vitality test is positive, while radiologically there was no sign of resorption. Swinging replantation is a protocol that has been used for the management of an inverted, rotated, and impacted central incisor. Open root apex is an important factor in the selection of the method. The minimal periodontal damage prevents inflammatory and replacement resorption. With some clear advantages over options like orthodontic and prosthetic replacement, it could be a method to be considered in the management of severely dilacerated central incisors.

The clinical significance is that even though management of a severely malpositioned tooth has always been a big challenge in dental practice, requiring extraction and prosthodontic replacement, swinging replantation provides a possible protocol of tooth retention, i.e., less expensive and associated with fewer hospital visits.

How to cite this article

Bello SA, Enebong DJ, Obi EV. Swinging Replantation: A Possible Protocol for the Management of Inverted Impacted Upper Central Incisor Tooth. J Contemp Dent Pract 2017;18(1):69-73.


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  1. Rare occurrence of inverted maxillary third molar impaction: a case report. J Int Oral Health 2013 Jun;5(3):85-87.
  2. Management of an impacted maxillary central incisor with dilacerated root. Saudi Med J 2013 Oct;34(10):1073-1079.
  3. Unusual impaction of a primary lateral incisor. ASDC J Dent Child 1994 Mar-Apr;61(2):146-148.
  4. Ankylosis of teeth in developing dentition. Quintessence Int 1986 May;17(5):303-308.
  5. Primary impaction of primary teeth: a review and report of three cases. J Clin Pediatr Dent 1991 Spring;15(3):165-168.
  6. Completely Impacted teeth in dentate and edentulous jaws. Pak Oral Dent J 2009;29(2):255-260.
  7. Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007 Mar;103(3):403-411.
  8. Impacted inverted teeth with their possible treatment protocols. J Maxillofac Oral Surg 2012 Dec;11(4):455-457.
  9. Replantation after traumatic avulsion. Eur J Dent 2013 Apr-Jun;7(2):229-232.
  10. Indications and case series of intentional replantation of teeth. Iran Endod J 2014 Winter;9(1):71-78.
  11. Intentional replantation of endodontically treated teeth. Oral Surg Oral Med Oral Pathol 1993 Nov;76(5):623-630.
  12. Inverted impacted primary maxillary incisors: a case report. J Dent (Tehran) 2012 Spring;9(2):174-177.
  13. Classification, etiology and epidemiology of traumatic dental injuries. In: Textbook and Color Atlas of traumatic injuries of the teeth. Copenhagen: Munksgaard; 1994. p. 151-177.
  14. Delayed replantation of avulsed teeth. J Indian Soc Pedod Prev Dent 2007;(Suppl 25)S17-S19.
  15. Replantation of an avulsed maxillary incisor after 12 hours: three-year follow-up. Iran Endod J 2013 Winter;8(1):33-36.
  16. Replantation of 400 avulsed permanent incisors 4 factors related to periodontal ligament healing. Endod Dent Traumatol 1995 Apr;11(2):76-89.
  17. Survival of human periodontal ligament cells in media proposed for transport of avulsed teeth. Dent Traumatol 2004 Feb;20(1):21-28.
  18. Root resorption after dental traumas: classification and clinical, radiographic and histologic aspects. RSBO 2011 Oct-Dec;8(4):439-445.
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