Avulsion of Permanent Mandibular Incisors: A Report of Two Cases with Pertinent Literature
Table 2
Timeline of Case I.
Time
Event
Symptoms
0
Patient-reported 10 minutes after injury in the playground with a complaint of bleeding from the oral cavity and face
An extraoral and intraoral laceration with an avulsion of tooth #32 was present
0
Immediate reimplantation with splinting and extraoral and intraoral suturing
+1 week (first follow-up, physically present)
Access opening and bio-mechanical preparation followed by calcium hydroxide dressing done
Tenderness in the reimplanted tooth
Sutures removed
+2 weeks (second follow-up, physically present)
Splint removed
No pain or tenderness (symptom-free)
+4 weeks (third follow-up, telephonically)
Refused further treatment
No pain, swelling (symptom-free)
+3.5 years (fourth follow-up, physically present)
The patient visited with pain on biting food for 15 days. Tenderness on the percussion with grade I mobility and periodontal pockets. IOPA shows severe root and alveolar bone resorption. The apex locator records the loss of working length by 5 mm
Pain with inflammatory external and internal resorption on angulated IOPA. Failure of the reimplantation procedure