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Pulp extirpation within 14 days after tooth replantation reduces inflammatory root resorption Critical Summary Prepared by: Priyanshi Ritwik BDS, MS 

A Critical Summary of:

An evidence-based assessment of the clinical guidelines for replanted avulsed teeth. Part I: Timing of pulp extirpation

Hinckfuss SE, Messer LB. Dental Traumatology. 2009;25(1):32-42

Published Date: 5/2/2012

This summary is published in the Journal of the American Dental Association and can be accessed at :-
http://jada.ada.org/content/143/5/496.full

OVERVIEW

  • Systematic Review Conclusion:

    The authors of this systematic review found an association between delayed pulp extirpation (performed more than 14 days after replantation) and the occurrence of inflammatory root resorption, thereby supporting the existing clinical guidelines that recommend performing pulp extirpation within seven to 10 days after replantation.

  • Critical Summary Assessment:

    The results of this systematic review showed that although there was no association between timing of pulp extirpation and periodontal healing, functional healing, acceptable healing or replacement resorption, there was an association between pulp extirpation performed within 10 to 14 days after tooth replantation and a reduced incidence of inflammatory resorption.

  • Evidence Quality Rating:

    Poor

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