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Exarticulation and reimplantation utilizing guided tissue regeneration: a case report
1Hard Tissue Research Unit, University College, London, England. wh57@dial.pipex.com
Quintessence International (Berlin, Germany : 1985)
|March 14, 2002
Summary
Tooth extraction and reimplantation, also known as exarticulation and reimplantation, can successfully retain teeth long-term. Key factors for success include minimizing extraoral time and preserving periodontal tissue attachments.
Area of Science:
- Dentistry
- Oral Surgery
Background:
- Tooth extraction and reimplantation is a long-standing dental procedure.
- Success has been observed for up to 30 years, though evidence is limited.
- Key prerequisites for success involve minimizing extraoral time and preserving periodontal ligament vitality.
Observation:
- A maxillary lateral incisor with a developmental defect was treated.
- The procedure involved exarticulation (extraction) and reimplantation.
- Calcium sulfate was applied during the procedure.
Findings:
- Exarticulation and reimplantation, when performed gently to preserve periodontal attachments, appears to be a viable clinical option.
- The term exarticulation and reimplantation more accurately reflects the atraumatic technique required.
- Successful tooth retention is possible with this method, provided critical factors are met.
Implications:
- This case report highlights the potential of exarticulation and reimplantation for treating developmental defects.
- Further controlled studies are necessary to definitively establish the efficacy of this dental procedure.
- Preservation of vital periodontal tissues is crucial for successful outcomes in tooth reimplantation.