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Accidental avulsion of a recently traumatised maxillary anterior tooth during rubber dam application
  1. Amandeep Kaur1,2,
  2. Vijay Kumar1 and
  3. Ajay Logani1
  1. 1Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Conservative Dentistry and Endodontics, Regional Institute of Medical Sciences, Imphal, Manipur, India
  1. Correspondence to Professor Ajay Logani; apexlogani{at}


Avulsion injuries are usually seen in the anterior maxillary teeth as a result of trauma. Avulsion as an endodontic mishap is extremely rare. This report highlights an unusual instance of exarticulation of a recently traumatised maxillary central incisor tooth when the rubber dam was applied during a routine non-surgical endodontic procedure. The tooth was immediately repositioned and stabilised with wire composite splint. Endodontic treatment was initiated after rubber dam isolation with a modified technique. Calcium hydroxide was used as intracanal medicament dressing, and obturation was done after 2 weeks. The treatment was successful with uneventful periodontal healing at 24-month follow-up. The presence of well-demarcated periodontal ligament space and absence of any resorptive area on the radiograph could be defined as a successful outcome for the present case.

  • dentistry and oral medicine
  • oral and maxillofacial surgery

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  • Contributors AK was the primary treating dental specialist and documented all patient records. AK and VK jointly wrote the manuscript. AL made the treatment plan and supervised the procedure. VK and AL reviewed and edited the manuscript. All authors approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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