Anterior fixed interim prosthesis with natural tooth crown as pontic subsequent to replantation failure

J Conserv Dent. 2011 Oct;14(4):432-5. doi: 10.4103/0972-0707.87220.

Abstract

Facial trauma resulting in tooth avulsion results in problems of physical and emotional nature for the patient and a challenge for the dentist. Avulsion accounts for 0.5-16% of traumatic injuries in the permanent dentition that can occur at any age and is most common in the young permanent dentition. As an emergency procedure, it is advisable to replant a traumatically avulsed tooth, but unfortunately long-term success is rather low. After unsuccessful replantation and subsequent extraction, it is prudent to replace the lost tooth to avoid aesthetic, masticatory, and psychological difficulties and also to prevent arch length discrepancy with various alternatives are available for the same. We presented a method for management of one of the two replanted teeth that showed failure, using the natural crown as pontic in a fixed semi-permanent bridge until a more definitive prosthesis can be fabricated at a later age for better patient compliance.

Keywords: Avulsion; fixed prosthesis; natural crown; replantation.

Publication types

  • Case Reports