Abstract

Avulsion means a traumatic injury to a primary or permanent tooth that has been completely ejected from the alveolus by direct force. In dental practice, any trauma in the orofacial region that results in tooth avulsion is considered an emergency that must be treated immediately. An eight-year-old patient had an avulsion of tooth 21 after falling from a wheelchair. After a clinical examination, the tooth was replanted according to the guidelines of the International Association of Dental Traumatology (IADT) and stabilized using a wire splint with analgesic and antibiotic therapy. Conventional endodontic therapy of tooth 21 started seven days after replantation with radiographic diagnosis. After endodontic treatment, the vital tooth was compositely restored with prior bleaching with 35% hydrogen peroxide. Monitoring of the avulsed tooth was performed by radiographic diagnosis and clinical examination, which were without clinical signs and symptoms.