UNIVERSITAS AIRLANGGA



Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 42 / No. 1 / Published : 2009-01

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Original Article :

Simple replantation protocol to avoid ankylosis in teeth intended for orthodontic treatment

Author :

  1. Yuli Nugraeni*1
  2. David Buntoro Kamadjaja*2
  3. Haryono Utomo*3
  1. Department of Conservative Dentistry, Dentistry Study Program, Brawidjaja University, Malang
  2. Department of Oral Surgery, Faculty of Dentistry, Airlangga University, Surabaya
  3. Dental Clinic, Faculty of Dentistry, Airlangga University, Surabaya

Abstract :

Background: Dento-alveolar trauma resulted from accidents involving the oral regions mostly affect the upper central incisors. Overjet that is beyond 5 mm and incompetent lip also contribute to increase the risk. Several literatures had already discussed different methods of replantation of avulsed teeth. However, it was not meant for further orthodontic treatment Protruded teeth usually need orthodontic treatment; therefore, an appropriate management should be done to avoid the development of ankylosis. Ankylosis of the periodontal ligament (PDL) becomes a problem in orthodontic tooth movement in repositioned or replanted teeth. In addition, ankylosed teeth also more susceptible to root resorption. Actually, it was thought caused by the endodontic treatment. In particular, severely protruded or unoccluded teeth are hypofunctional, therefore have narrow PDL, thus it may facilitate to ankylosis development. Ideal management protocol such as the use of root canal sealer i.e. mineral trioxide aggregate (MTA); the using of Emdogain, and resilient wiring or semi-rigid fixation with brackets has become a solution in avulsed teeth arranged for orthodontic treatment. Nevertheless, the presence of oral surgeon, endodontist and orthodontist in the same time, and also ideal preparations after an accident was difficult to achieve. Purpose: to propose a simple replantation protocol of avulsed teeth which also prevent from ankylosis. Conclusion: Considering that reducing the ongoing PDL inflammation with intracanal medicaments and maintaining the functional force during mastication is possible; it is concluded that this simple replantation protocol is likely.

Keyword :

replantation protocol, ankylosis prevention, orthodontic treatment,


References :





Archive Article

Cover Media Content

Volume : 42 / No. : 1 / Pub. : 2009-03
  1. The Transformation Of Ordinal Scale For Parametric Statistic Analysis On Dental Health Questionnaire
  2. Chronic Gingivitis And Aphthous Stomatitis Relationship Hypothesis: A Neuroimmunobiological Approach
  3. The Role Of Microendodontics In Treating Mandibular Second Molar With Five Canals
  4. Toxicity Testing Of Chitosan From Tiger Prawn Shell Waste On Cell Culture
  5. The Effect Of Toothpaste Containing Kayu Sugi Extract On Plaque Formation
  6. Simple Replantation Protocol To Avoid Ankylosis In Teeth Intended For Orthodontic Treatment
  7. Treatment Of Temporomandibular Dissorder’s Using Occlusal Splint
  8. Inhibitory Effect Of N-hexane : Ethyl Acetate Fraction From Artemisia Vulgaris L. On Cell Culture Of Epithelial Carcinoma Of The Mouth
  9. Antioxidant Effect Of Minocycline In Gingival Epithelium Induced Toxin Actinobacillus Actinomycetemcomitans Serotype B
  10. Esthetic Rehabilitation Of Crowded And Protruded Anterior Dentition
  11. Patient Safety Oriented To Improve Patient Retention In Oral Health Services