Avulsion of permanent teeth with open apex: a systematic review of the literature

Resumo

Considered the most serious of dental in�uries,
avulsion is known as the total displacement of tooth out of its
socket. Treatment includes immediate replantation and its success
is directly related to several factors. Objective: This paper aimed
to review the literature in a systematic way on dental avulsion of
permanent teeth with open apex, covering various topics such as:
reason for avulsion; storage media; time out of the socket; use of
antibiotics; splinting time; tooth vitality; presence of resorption
and/or obliteration of pulp canal; and following-up time. Material
and methods: PubMed/MedLine database and Dental Traumatology
journal were searched, from May to June of 2011, and several
studies comprising the current and classic literature were listed
using the following terms: tooth avulsion, open apex, permanent
and case report. Results and conclusion: Twelve cases reports were
selected. Cases of dental trauma in open apex teeth may have a good
prognosis if the following steps are taken: the hydration of the tooth
and immediately replantation. It is important to search dental care,
even if everything seems solved, and the tooth following-up should
be performed periodically as informed by the dentist.