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Dent Traumatol. 2008 Oct;24(5):569-73. doi: 10.1111/j.1600-9657.2008.00583.x.

Replantation of an avulsed maxillary primary central incisor and management of dilaceration as a sequel on the permanent successor.

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  • 1Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.


This case report outlines the sequel and possible management of a permanent tooth traumatized through the predecessor, a maxillary right primary central incisor that was avulsed and replanted by a dentist 1 h after the trauma in a 3-year-old girl. Three years later, discoloration and fistula were present, so the primary tooth was extracted. The patient did not come to the scheduled follow-ups to perform a clinical and radiographic control of the succeeding permanent incisor, and only returned when she was 10 years old. At that moment, the impaction and dilaceration of the maxillary right permanent central incisor were observed through radiographic examination. The dilacerated permanent tooth was then surgically removed, and an esthetic fixed appliance was constructed with the crown of the extracted tooth. Positive psychological influence of the treatment on this patient was also observed.

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