Batna Journal of Medical Sciences
Volume 12, Numéro 1, Pages 46-50
2026-04-01
Late Replantation (24 Hours) Of An Avulsed Immature Maxillary Central Incisor In A Child: Biological Challenges And Therapeutic Considerations – A Case Report
Authors : Benyoub Amel Rania . Allal Nawel . Oudghiri Fouad . Keddar Amina . Benturquia Houda . Kechekouch Mohammed Zakarya .
Abstract
Tooth avulsion is an emergency where the prognosis depends on extra-oral time and the storage medium. This study reports the case of a 10-year-old boy who presented 24 hours after the avulsion of tooth 21, which was initially stored in dry conditions. Despite a delay far exceeding the IADT 2020 guidelines, replantation was attempted to preserve aesthetics and bone capital. The protocol included atraumatic replantation, flexible splinting, and antibiotic therapy. However, follow-up was complicated by patient absenteeism at control appointments, which favored the early onset of inflammatory resorption. Rigorous endodontic disinfection combined with MTA apexification successfully stabilized the tooth. The one-year follow-up shows a functional tooth and preserved bone capital. This case highlights the importance of patient cooperation in the success of late replantations.
Keywords
dental avulsion; late replantation; immature tooth; apexification; dental trauma.
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