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  • Title: Root surface conditioning in closed apex avulsed teeth: a clinical concept and case report.
    Author: Shaul L, Omri E, Zuckerman O, Imad Ael-N.
    Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2009 Sep; 108(3):e125-8. PubMed ID: 19716482.
    Abstract:
    In an avulsed tooth with an open apex, a recommended procedure is to coat the root surface with topical doxycycline before reimplantation. Doxycycline, a derivative of the tetracycline family, has an antibacterial effect and anti-inflammatory qualities, and is effective in reducing inflammatory and replacement resorption following dental trauma. Treating the root surface of an avulsed closed apex tooth is a rational and recommended procedure. A case is presented in which an avulsed closed apex tooth, conditioned with topical doxycycline, was reimplanted in the socket. At follow-up, 16 months later, no clinical signs and symptoms were present and radiographic evaluation showed only superficial root surface resorption and an intact PDL.
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