"THE MAGIC WAND: Injectable PRF for delayed avulsed tooth replantation"

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Entitled 'THE MAGIC WAND': A novel treatment option for delayed replantation of an avulsed permanent tooth using injectable platelet-rich fibrin
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Nanditha Suresh


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Entitled 'THE MAGIC WAND': A novel treatment option for delayed replantation of an avulsed permanent tooth using injectable platelet-rich fibrin

Year: 2021 | Doi: 10.4103/jisp.jisp_533

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Tooth avulsion is the complete displacement of a tooth from its socket, often resulting from trauma due to accidents, sports, or domestic violence. This injury can significantly impact both physical function and psychological well-being. The success of replantation largely hinges on various factors, including the duration the tooth remains outside the socket and the preservation method utilized. The utilization of platelet-rich fibrin (PRF), particularly in its injectable form (i-PRF), has emerged as a promising approach in optimizing the reimplantation process, even in cases with prolonged extraoral dry time.

The Role of Injectable Platelet-Rich Fibrin (i-PRF)

The application of i-PRF in dental procedures presents a novel method for enhancing the success of replanting avulsed teeth by promoting tissue regeneration. Derived from the patient’s own blood, i-PRF possesses a higher concentration of growth factors compared to traditional PRF, which may aid in the regeneration of the periodontal ligament (PDL). This case report examines a 21-year-old female with a maxillary central incisor avulsed for four days before treatment. The avulsed tooth was successfully replanted after thorough preparation, including cleansing and the introduction of i-PRF into the socket, demonstrating the potential of i-PRF to facilitate healing despite an extended dry period.

Conclusion

While delayed replantation of avulsed teeth is generally not regarded as an ideal treatment option, advancements in biomaterials such as i-PRF have shown promise in improving outcomes. These innovations not only increase the likelihood of retaining a patient’s natural tooth but also reduce the complexities typically associated with immediate replantation. Further research is necessary to validate the long-term effectiveness of i-PRF in such dental procedures, yet the current findings suggest it could play a vital role in enhancing the prognosis for delayed replantation cases.

FAQ section (important questions/answers):

What is the significance of tooth avulsion and its effects?

Tooth avulsion is the complete displacement of a tooth from its socket, leading to physical and psychological issues for the individual. It can occur due to trauma from various incidents such as accidents or domestic violence.

What factors influence the success of tooth reimplantation?

Success in tooth reimplantation depends on multiple factors including the general health of the patient, the maturity of the tooth's root, extraoral time, and the storage medium of the avulsed tooth.

How does Platelet Rich Fibrin (PRF) help in dental treatments?

Platelet Rich Fibrin (PRF) promotes tissue regeneration and healing in dental procedures. It releases growth factors that aid in cell differentiation, stimulate cell proliferation, and enhance recovery following procedures like reimplantation of avulsed teeth.

What does the case report highlight about the use of i-PRF?

The case report discusses the successful reimplantation of a permanent tooth using Injectable Platelet Rich Fibrin (i-PRF) after an extended dry period. This technique enhances healing potential despite delayed treatment.

What are the long-term considerations after a delayed tooth replantation?

Long-term prognosis after delayed replantation involves monitoring for complications like root resorption, infection, or ankylosis. Future studies are needed to confirm the effectiveness of i-PRF in enhancing outcomes over time.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “"THE MAGIC WAND: Injectable PRF for delayed avulsed tooth replantation"”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In the context of dental treatment for avulsed teeth, a 'Table' provides a visual representation of a decision-making process or protocol. It organizes information in a structured format, making it easy for clinicians to follow specific guidelines regarding replantation, storage conditions, and timing, thereby supporting better clinical decisions.

2) Sign:
The term 'Sign' refers to observable indications of a condition or disease during a dental examination. In the context of tooth replantation, clinicians look for signs of vitality, inflammation, and potential complications in both the avulsed tooth and surrounding tissue, which are crucial for effective treatment planning and prognosis.

3) Inflammation:
Inflammation is a biological response to injury or infection and is significant in dental treatments. In the context of avulsed teeth, understanding inflammation is vital since it can affect the periodontal ligament (PDL) and healing process. Minimizing inflammation improves the chances of successful tooth replantation and overall tissue health.

4) Knowledge:
Knowledge is key in medical and dental practices, as it encompasses understanding and information regarding procedures and patient management. In avulsion cases, adequately educating both practitioners and patients about proper tooth handling, storage, and timely replantation significantly increases the chances of preserving the tooth and preventing complications.

5) Medium:
A 'Medium' in dental reimplantation contexts refers to the substance used to store avulsed teeth temporarily. The choice of storage medium, such as saline or milk, is crucial as it can significantly impact the viability of periodontal ligament (PDL) cells and the overall success of the replantation process.

6) Blood:
Blood is referred to in the context of its role in healing and regenerative processes. In dental procedures involving platelet-rich fibrin (PRF), the patient's own blood is used to create growth factors and promote tissue regeneration. This helps in the healing of avulsed teeth and surrounding structures effectively.

7) Rich (Rch):
'Rich' typically describes the abundance of substances, particularly in the context of platelet-rich fibrin (PRF). In dental regeneration, having 'rich' concentrations of platelets and growth factors from the patient’s blood enhances healing capabilities, directly influencing the recovery and success rates of dental procedures such as tooth replantation.

8) Post:
The term 'Post' refers to the time after a dental procedure, such as tooth replantation. Patient follow-up and postoperative care are vital for monitoring healing, preventing complications, and assessing the vitality of the replanted tooth through regular check-ups and radiographs during the healing process.

9) Composite:
Composite refers to a material used in dentistry for restorations. In the context of the case report, composite fillings are utilized for aesthetic and functional restoration of teeth, particularly after avulsions or fractures, allowing for effective recovery and integration into the patient’s dental structure.

10) Relative:
Relative contexts are important in understanding the connection or comparison to other variables or conditions. In this case, it refers to the relationship of outcomes and treatments in avulsed tooth cases. Recognizing relative factors enables practitioners to better assess treatment choices and inform patients of potential outcomes.

11) Filling (Filled):
Filling refers to a dental material used to restore missing tooth structure resulting from caries or trauma. In the discussed cases, fillings can be critical for restoring function and aesthetics, particularly after replantation, allowing for improved longevity and health of the affected teeth.

12) Surface:
'Surface' pertains to the external area of a tooth or tissue. In dental procedures, the condition of the tooth surface, including deposits or lesions on the enamel or dentin post-implantation, is significant, as this influences healing, aesthetic outcomes, and subsequent treatment decisions.

13) Visit:
A 'Visit' denotes the appointment between the patient and dentist. Regular visits are essential for monitoring post-treatment recovery, addressing complications, and conducting further treatments as needed, such as endodontic therapy or splint removal. They play a significant role in ensuring long-term success of dental procedures.

14) Study (Studying):
A 'Study' in this context refers to research that contributes knowledge to dental practices. Clinical studies, particularly those related to treatment protocols for avulsed teeth, provide insights into effective methods and materials, influencing current practices and improving patient outcomes in dental care.

15) Tree:
In this scenario, 'Tree' refers to a decision tree—a visual tool that assists in clinical decision-making path for avulsed tooth management. It systematically displays choices and outcomes, guiding practitioners to follow best practices based on the specific circumstances of tooth avulsion and storage methods.

16) Road:
'Road' in the context of dental injuries often relates to 'road traffic accidents' which are common causes of tooth avulsion. Understanding the implications of such incidents can help dental professionals anticipate and manage patient trauma and subsequent treatment needs more effectively.

17) Transformation (Transform, Transforming):
'Transforming' refers to the process wherein biological agents cause significant changes in cellular activity. In dental procedures, transforming growth factors promote healing and cell differentiation, essential for tissue regeneration in cases of tooth avulsion, directly impacting the success of treatments like PRF.

18) Discussion:
Discussion refers to the analytical dialogue surrounding treatment cases in dental literature. Specifically, discussing outcomes, methodologies, and research aids in understanding the efficacy of treatments for avulsed teeth, allowing professionals to enhance their approach based on evidence and shared experiences.

19) Antibiotic (Antibacterial):
An 'Antibiotic' is a medication used to prevent or treat bacterial infections. In dental treatments following tooth avulsion, antibiotics are often prescribed to reduce the risk of infection, particularly after replantation, safeguarding the healing process and ensuring the long-term success of the treatment.

20) Reason:
'Reason' pertains to the justification or rationale behind clinical decisions made during dental treatments. Understanding the reasons for specific treatment choices, protocols, and methodologies is crucial for improving patient outcomes, guiding practitioners in making informed decisions based on evidence and best practices.

21) Debate:
'Debate' involves discussion and differing opinions, especially concerning treatment protocols for dental avulsion cases. Engaging in debates around the efficacy of new materials or procedures like PRF contributes to advancing dental practice by ensuring that the best strategies are employed for patient welfare.

22) Rules:
'Rules' in dental practice refer to established guidelines or protocols that govern treatment procedures. Adherence to rules, particularly for managing avulsed teeth, ensures standardized practices that enhance patient outcomes, minimize complications, and encourage the effective use of materials and techniques for replantation.

23) Ashan (Asan):
'Asan' relates to Asan Memorial Dental College and Hospital, the setting of the case study. It reflects the place where significant dental treatments and clinical procedures are conducted, playing a vital role in education and providing care for dental patients in need.

24) Pain:
Pain is a significant aspect of patient care, representing a symptom that may arise post-injury or dental treatment. Understanding and managing pain effectively during and after dental procedures, like replantation of avulsed teeth, is crucial for improving patient comfort and overall treatment success.

25) Milk:
'Milk' in the context of avulsed teeth serves as a temporary storage medium. Utilizing milk preserves the vitality of periodontal ligament cells, increasing chances for successful replantation by providing a biologically suitable environment until professional dental care is accessible.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘"THE MAGIC WAND: Injectable PRF for delayed avulsed tooth replantation"’. Further sources in the context of Science might help you critically compare this page with similair documents:

Oral health, Endodontic treatment, Tooth loss, Cell viability, Long-term prognosis, Platelet-rich-fibrin.

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