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Monitoring pulp vitality after transplantation of teeth with mature roots: a case report
M L Siers1, W L Willemsen, K Gulabivala
1Department of Cariology and Endodontology, Faculty of Dental Science, University of Nijmegen, the Netherlands. M. Siers@dent.kun.nl
Aim:
To initiate discussion on the value of routine root canal treatment for transplanted teeth.
Summary:
Autotransplantation is an accepted treatment option to replace missing teeth. It is generally considered that revascularization of the pulp following such a procedure is more favourable in teeth with immature roots. In teeth with closed apices root canal treatment is considered necessary. This paper presents a case of pulp revascularization in a transplanted tooth with mature roots and casts doubt on whether root canal treatment is essential in such situations. An alternative treatment protocol is proposed.
Key Learning Points:
* Following transplantation original pulp tissue may survive the operation. * Teeth with obliterated pulp space do not become necrotic more often than those without obliteration. * Monitoring the tooth is an acceptable alternative to automatic root canal treatment for transplanted teeth. * Root canal treatment should be undertaken only upon occurrence of pathological signs.