IADR Abstract Archives
A-Five-Year Follow-Up of Reimplantation Treatment of Concrescence in a Pediatric Patient
Objectives: The purpose of this report was to present the reimplantation treatment of a child patient diagnosed with the concrescence of a supernumerary tooth to a maxillary lateral incisor and the follow-up for five years.
Methods: A ten-year-old girl was diagnosed with a supernumerary tooth located to adjacent of maxillary left lateral incisor. Patient medical history revealed no syndrome and disease. The extraction of supernumerary tooth was first tried in another dental clinic but referred to our department due to complete movement of both teeth. Radiography and 3D-DVT revealed cementum junction between two teeth. Root canal treatment was performed for both of them. Following surgical extraction, Nd-YAG Laser was used immediately to separate teeth from their root surface. One of the teeth was reimplanted according to their root and crown shapes, semi-rigid fixation was followed for two weeks. A month later orthodontic alignment was initiated and completed in 8 months. The case was followed clinically and radiographically for 5 years.
Results: The reimplanted tooth had no complication after two years of follow-up. At the third year external root resorption had noticed at the apical side of the root with no apparent clinical symptom. At the fourth year the resorption was worsen and at the fifth year 3D-DVT revealed that one third of the root had resorbed still with no clinical symptom. The patient is still under our surveillance.
Conclusions: Supernumerary teeth are affecting oral hygiene, occlusion and esthetics of pediatric patients. Early treatment of such cases prevents long-term orthodontic and restorative treatments. In our case even though a successful surgical extraction, separation by laser of fused teeth and its reimplantation was seen initially in the following two years after the treatment, long term monitoring of the reimplanted tooth disclosed resorption of the root canal which indicate the importance of proper surveillance of these cases.
Methods: A ten-year-old girl was diagnosed with a supernumerary tooth located to adjacent of maxillary left lateral incisor. Patient medical history revealed no syndrome and disease. The extraction of supernumerary tooth was first tried in another dental clinic but referred to our department due to complete movement of both teeth. Radiography and 3D-DVT revealed cementum junction between two teeth. Root canal treatment was performed for both of them. Following surgical extraction, Nd-YAG Laser was used immediately to separate teeth from their root surface. One of the teeth was reimplanted according to their root and crown shapes, semi-rigid fixation was followed for two weeks. A month later orthodontic alignment was initiated and completed in 8 months. The case was followed clinically and radiographically for 5 years.
Results: The reimplanted tooth had no complication after two years of follow-up. At the third year external root resorption had noticed at the apical side of the root with no apparent clinical symptom. At the fourth year the resorption was worsen and at the fifth year 3D-DVT revealed that one third of the root had resorbed still with no clinical symptom. The patient is still under our surveillance.
Conclusions: Supernumerary teeth are affecting oral hygiene, occlusion and esthetics of pediatric patients. Early treatment of such cases prevents long-term orthodontic and restorative treatments. In our case even though a successful surgical extraction, separation by laser of fused teeth and its reimplantation was seen initially in the following two years after the treatment, long term monitoring of the reimplanted tooth disclosed resorption of the root canal which indicate the importance of proper surveillance of these cases.