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Simple Replantation Protocol to Evoid ankylosis in teeth Intended for orthodontic Treatment

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Dento-alveolar trauma resulted from accidents involving the oral regions mostly affect the upper the apper central incosors. Overjet that is beyond 5 mm and incompetent lipalso contribute to increase the risk. Several literatures had already disussed different methods of replantation of avulsed teeth. However, it was not meant for farther orthodontic treatment. The objective of this review is to propose a simple replantation protocol of avulsed teeth which also prevent from ankylosis. Protruled teeth usually need orthodontic treatment; therefore, an appropriate management should be done to avoid the development of ankylosis. Ankylosis of the periodontal ligment (PDL) becomes a problem in orthodontic tooth movement in repositioned or replanted or teeth. In additionankyosed teeth also more susceptible to root resorption. Actually, it was caused by the endodontic treatment. In particular, severely protruded or unoccluded or unocluded teeth are hypofunctional, therefore have narrow PDP thus it may facilitate to ankylosis development. Ideal management protocol such the use of root canal sealer i.e. mineral trioxide aggregate (MTA); the using of Endogain, and resilient wiring or semi-trigid fixation with brackets has become a solution in avulsed teeth arranged for orthodontic treatment. Nevertheless, the presence of oral surgeon, endodontist in the same, and also ideal preparations after an accident was difficult to achieve. Considering that reducing the angoing PDL inflamation with intracanal medicaments and maintaining the functional force during mstication is possible; it is concluded that this simple replantation protocol is likely.

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Detail Information

Series Title

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Call Number

Dental Journal: 42(1):25-30

Publisher

Surabaya : FKG-UI., 2009

Collation

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Language

English

ISBN/ISSN

1978-3728

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Content Type

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Media Type

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Carrier Type

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Edition

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Subject(s)

orthodontics
ANKYLOSIS

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