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Effect of stannous fluoride and tetracycline on repair after delayed replantation of root-planed teeth in dogs 

Authors: Knut A. Selvig a;  Kjell Bjorvatn b; Noel Claffey c
Affiliations:   a School of Dentistry, University of Bergen, Bergen, Norway
b School of Dentistry, Loma Linda University, Loma Linda, California, USA
c Dental School, Trinity College, Dublin, Ireland
DOI: 10.3109/00016359009005865
Publication Frequency: 6 issues per year
Published in: journal Acta Odontologica Scandinavica, Volume 48, Issue 2 April 1990 , pages 107 - 112
Subject: Dentistry;
Formats available: PDF (English)
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Abstract

Mandibular incisors were extracted and allowed to dry in air for 45 min. They were then root-planed extensively, leaving a cervical collar and the apical region uninstrumented, to prevent direct contact between root surface and alveolar bone after replantation while, at the same time, enabling precise and stable reseating of the tooth. Control teeth were replanted either without further treatment or after treatment with citric acid for 3 min. Experimental teeth were treated before replantation with 1% SnF2 for 5 min, 1% tetracycline HCl for 5 min, or 1% SnF2 followed by 1% tetracycline. Histometric analysis of healing in the root-planed areas showed minimal amounts of inflammatory resorption and ankylosis after 21 days in experimental teeth as compared with the control teeth. A persisting inflammatory reaction in the periodontal ligament without root resorption was, however, frequently seen. The observations confirm that the frequency of adverse healing reactions after delayed replantation of teeth from which nonvital soft tissue remnants have been removed can be reduced by demineralizing the root surface and preventing mechanical trauma to the root surface in the postoperative period. Root surface treatment with SnF2 followed by tetracycline resulted in complete absence of inflammatory resorption and ankylosis in this short-term experiment.
Keywords: Pathology; periodontal ligament; tooth reimplantation
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