Evaluating the Feasibility of Delayed Replantation: Report of 2 Cases

Introduction : Losing permanent teeth due to avulsion or extraction can affect patients psychologically and functionally. This condition can be managed through replantation, which involves implanting teeth into the socket. The success of avulsed tooth replantation is highly influenced by the choice of storage media, the duration of the tooth remains outside the socket, and the level of contamination. The key to successful replantation lies in the patient's condition, the donor tooth, and the recipient site. Objective : To report the management of delayed replantation and its treatment outcomes in several cases. Cases : The first case is an 11-year-old child who experienced avulsion of the left maxillary central incisor, which was replanted six days later. The second case is a 22-year-old woman who experienced avulsion of tooth 21 and underwent delayed replantation 15 hours later. Both avulsed teeth were treated with root canal treatment, with subsequent successful treatment outcomes afterward. Conclusion : Delayed replantation treatment provided satisfactory results in all three cases. The replanted teeth showed no complaints, discoloration, or gingival swelling and were completely painless during each case's follow-up period. In Case 1, there was infra-positioning, ankylosis, and external resorption at the mesial alveolar crest of the tooth. Case 2 showed a well-functioning tooth, no periapical lesions, and satisfactory aesthetic results.