Tooth avulsion with extra oral time in less than 60 minutes: two different therapeutic protocols with 13-year follow-up

The aim of this study is to assess what needs to be the priority in tooth avulsion: replantation as quickly as possible and deferred endodontic treatment, or replantation and elimination of every irritating stimulus for the periodontal ligament. Twenty patients were selected and divided into 2 groups: in group A attention was focused on the rapidity of replantation and postponed endodontic therapy, in group B we focused on the elimination of the necrotic pulp with extraoral endodontic therapy. Clinically, there was no difference in stability, but there were 3 elements in infraocclusion in group A, and 4 in group B. Radiographically, a similar incidence of radicular resorption caould be observed in group B compared to group A. In conclusion, as a result of dental avulsion, the speed of replanting always seems to be a priority.