Root surface conditioning in closed apex avulsed teeth: a clinical concept and case report

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Sep;108(3):e125-8. doi: 10.1016/j.tripleo.2009.04.031.

Abstract

In an avulsed tooth with an open apex, a recommended procedure is to coat the root surface with topical doxycycline before reimplantation. Doxycycline, a derivative of the tetracycline family, has an antibacterial effect and anti-inflammatory qualities, and is effective in reducing inflammatory and replacement resorption following dental trauma. Treating the root surface of an avulsed closed apex tooth is a rational and recommended procedure. A case is presented in which an avulsed closed apex tooth, conditioned with topical doxycycline, was reimplanted in the socket. At follow-up, 16 months later, no clinical signs and symptoms were present and radiographic evaluation showed only superficial root surface resorption and an intact PDL.

Publication types

  • Case Reports

MeSH terms

  • Administration, Topical
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Child
  • Cuspid / injuries
  • Doxycycline / administration & dosage
  • Doxycycline / therapeutic use*
  • Female
  • Follow-Up Studies
  • Humans
  • Incisor / injuries*
  • Root Canal Filling Materials / therapeutic use
  • Root Canal Obturation / methods
  • Root Canal Preparation / methods
  • Splints
  • Tooth Apex / drug effects*
  • Tooth Avulsion / surgery*
  • Tooth Replantation / methods*
  • Tooth Root / drug effects*
  • Tooth Socket / surgery
  • Tooth, Deciduous / injuries

Substances

  • Anti-Bacterial Agents
  • Root Canal Filling Materials
  • Doxycycline