Akademik Veri Yönetim Sistemi
The 30th IAPD (The International Association of Paediatric Dentistry) Congress, Cape-Town, Güney Afrika, 22 - 25 Ekim 2025, ss.1, (Özet Bildiri)
Introduction: Iatrogenic dental extractions represent a serious malpractice in undergraduate dental clinics. Immediate management of such iatrogenic trauma is essential for preserving tooth prognosis. Additionally, mesiodens can interfere with the eruption of permanent incisors and often require surgical removal. This report presents a rare case involving the immediate replantation of an iatrogenically extracted tooth and the subsequent surgical removal of impacted double mesiodens in a pediatric patient.
Case Report:
An 11-year-old girl presented to the Istanbul Kent University Faculty of Dentistry Hospital with a chief complaint of delayed eruption of upper incisors. Clinical and radiographic examination revealed delayed eruption due to double mesiodens and retained upper primary incisors. During extraction, the upper right lateral incisor was accidentally extracted by an undergraduate trainee. The tooth was immediately replanted. Two strands of 0.008-inch orthodontic ligature wire were twisted together, and the tooth was stabilized using this splint. As the root apex was closed, root canal treatment was initiated two weeks later, and the splint was removed during the same visit. Follow-ups were performed at 2 weeks, 4 weeks, 3 months, 6 months, and 1 year. The tooth remained functional and asymptomatic in control visits. Once patient cooperation was achieved at the 1-year follow-up, the impacted mesiodens were surgically removed. After 6 months, upper central incisors erupted spontaneously.
Conclusion: This case highlights the importance of prompt management of iatrogenic dental trauma in pediatric patients. Immediate replantation combined with appropriate endodontic treatment can result in favorable outcomes. The use of surgical safety checklists for dental procedures, can significantly reduce the risk of preventable errors such as wrong-tooth extraction, strengthens patient safety, minimizes iatrogenic complications, and ensures better clinical outcomes for pediatric patients.