The aim of this report is to present the case of an accidentally avulsed maxillary central incisor kept in
saline solution from the moment of
trauma until its
replantation 3 h later in a 13-year-old girl. The
avulsed tooth was replanted back into the alveolar socket and splinted with
composite resin.
Calcium hydroxide intracanal dressing was used to prevent inflammatory
root resorption. Radiographic and clinical examinations were performed during 27 months follow-up. During the 15 months follow-up period, the tooth remained in a stable functional position and did not reveal replacement resorption. But mild infraocclusion and
root resorption were developed 21 months after
replantation. The amount of damage to tooth and supporting structures,
emergency treatment and follow-up period play a role in the prognosis of the
avulsed tooth. It can be recommended to keep the
avulsed tooth in
saline solution at least when more appropriate storage media are not on handle immediately.