Decoronation of ankylosed incisors in two adolescent patients

Abstract

Avulsion of permanent dentition represents a serious if relatively uncommon type of traumatic injury. The most frequent complication after replantation of teeth is ankylosis, from initial root resorption through eventual replacement of lost root substance with bone. Decoronation may be considered an alternative treatment strategy for ankylosed incisors in young patients. In the two cases reported on here, ankylosed teeth in adolescent patients were decoronated and prosthetically restored after late and less-than-ideal replantation procedures. The results obtained in these two cases are indications that decoronation may be a good treatment option for teeth affected by replacement and external resorption in young people who have not yet completed their growth and development.