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Pulp Therapy

375 - Wrong Site Extraction, Reimplantation, and Pulpal Regeneration

Friday, May 24, 2024
4:45 PM – 4:55 PM EST
Location: Exhibit Hall (back left corner of the hall, space 137)

    Presenting Author(s)

  • Brennan R. Truman, DMD

    Resident
    UNLV Advanced Education in Pediatric Dentistry
    UNLV Pediatric Dental
    Las Vegas, Nevada, United States

    • Co-Author(s)

  • LR

    Lee Roundy, DDS

    UNLV Pediatric dental residency

    • Program Director(s)

  • LR

    Lee Roundy, DMD

    University of Nevada, Las Vegas
    Las Vegas, Nevada, United States

Abstract:



Introduction:   Wrong site surgery and near miss experiences are not uncommon in dental education institutions.  Analysis of wrong tooth extraction data suggests that cognitive failure is one of the most frequent causes, alongside failures in communication and training.  Given that oral surgery has been noted to have some of the most serious and irreversible complications in dentistry, there is a real potential for dental students to cause patient harm.  These incidents highlight the importance of having established protocols and procedures to prevent such wrong site surgeries. 



Case Report:   A 9-year-old Hispanic male was referred to the UNLV Advanced Education in Pediatric Dentistry Program after tooth #20 was extracted in error by a dental student.  The student placed tooth #20 into hydrogen peroxide post extraction.  This case report follows the management of this wrong site surgery, including re-implantation, splinting, pulpal regeneration, and follow-up.  It also details treatment recommendations and expected sequelae for immature necrotic pulps following a traumatic injury (avulsion) as well as appropriate follow-up appointments and recommendations set forth by the AAPD.

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