Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case Report

Dental trauma resulting in permanent tooth avulsion commonly affects the young population. The prognosis of replantation after avulsion depends on the natural history of inflammatory and replacement resorption. Several risk factors for type and onset of external resorption have been defined. This ca...

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Main Authors: Marta Mazur, Roberto Marasca, Livia Ottolenghi, Iole Vozza, Francesco Covello, Andrea Zupancich, Emanuela Cristiani, Alessia Nava
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/10/10/3551
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author Marta Mazur
Roberto Marasca
Livia Ottolenghi
Iole Vozza
Francesco Covello
Andrea Zupancich
Emanuela Cristiani
Alessia Nava
author_facet Marta Mazur
Roberto Marasca
Livia Ottolenghi
Iole Vozza
Francesco Covello
Andrea Zupancich
Emanuela Cristiani
Alessia Nava
author_sort Marta Mazur
collection DOAJ
description Dental trauma resulting in permanent tooth avulsion commonly affects the young population. The prognosis of replantation after avulsion depends on the natural history of inflammatory and replacement resorption. Several risk factors for type and onset of external resorption have been defined. This case study describes different resorptive patterns observed in two upper central incisors belonging to a single individual, avulsed in the same moment, and replanted after thirty-six hours of dry storage. The roots were analyzed by scanning electron microscopy and stereomicroscope imaging, to obtain an in-depth analysis of the resorptive pattern. The aim of this report is to: (i) underline the high variability in the incidence of root resorption after replantation across and within types of teeth and resorption; and (ii) underline the possible concurrence of different factors affecting the onset and type of resorptive pattern. In conclusion, an unpredictable pattern of resorption may account for the poor prognosis when teeth are replanted outside the current recommendations.
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spelling doaj.art-38424615158f49c0ab0cf82c36dd67ce2023-11-20T01:10:34ZengMDPI AGApplied Sciences2076-34172020-05-011010355110.3390/app10103551Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case ReportMarta Mazur0Roberto Marasca1Livia Ottolenghi2Iole Vozza3Francesco Covello4Andrea Zupancich5Emanuela Cristiani6Alessia Nava7Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyPediatric Dentistry Unit, Head and Neck Integrated Department, AOU Policlinico Umberto I of Rome, Viale Regina Elena 287/b, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, DANTE - Diet and ANcient TEchnology Laboratory, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, DANTE - Diet and ANcient TEchnology Laboratory, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, DANTE - Diet and ANcient TEchnology Laboratory, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDental trauma resulting in permanent tooth avulsion commonly affects the young population. The prognosis of replantation after avulsion depends on the natural history of inflammatory and replacement resorption. Several risk factors for type and onset of external resorption have been defined. This case study describes different resorptive patterns observed in two upper central incisors belonging to a single individual, avulsed in the same moment, and replanted after thirty-six hours of dry storage. The roots were analyzed by scanning electron microscopy and stereomicroscope imaging, to obtain an in-depth analysis of the resorptive pattern. The aim of this report is to: (i) underline the high variability in the incidence of root resorption after replantation across and within types of teeth and resorption; and (ii) underline the possible concurrence of different factors affecting the onset and type of resorptive pattern. In conclusion, an unpredictable pattern of resorption may account for the poor prognosis when teeth are replanted outside the current recommendations.https://www.mdpi.com/2076-3417/10/10/3551tooth avulsiondry storagetooth replantationresorptive patternroot resorption
spellingShingle Marta Mazur
Roberto Marasca
Livia Ottolenghi
Iole Vozza
Francesco Covello
Andrea Zupancich
Emanuela Cristiani
Alessia Nava
Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case Report
Applied Sciences
tooth avulsion
dry storage
tooth replantation
resorptive pattern
root resorption
title Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case Report
title_full Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case Report
title_fullStr Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case Report
title_full_unstemmed Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case Report
title_short Different Resorptive Patterns of Two Avulsed and Replanted Upper Central Incisors Based on Scanning Electron Microscopy and Stereomicroscopic Analysis: A Case Report
title_sort different resorptive patterns of two avulsed and replanted upper central incisors based on scanning electron microscopy and stereomicroscopic analysis a case report
topic tooth avulsion
dry storage
tooth replantation
resorptive pattern
root resorption
url https://www.mdpi.com/2076-3417/10/10/3551
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