Intentional Replantation Techniques: A Critical Review

Area of Science:

• Dentistry
• Endodontics
• Surgical Procedures

Background:

• Intentional replantation techniques have historically lacked standardized guidelines, leading to variable success rates.
• This procedure was often considered a last resort due to inconsistent outcomes.
• Recent research indicates significantly improved and consistent success rates, ranging from 88% to 95%.

Purpose of the Study:

• To critically review and analyze the various techniques reported for intentional replantation.
• To assess the evolution of intentional replantation procedures over time.
• To evaluate current techniques against modern endodontic surgical principles.

Main Methods:

• A comprehensive literature search was conducted using PubMed, Medline, and Scopus databases.
• 3183 articles were initially identified and screened for relevance.
• 27 selected studies were critically reviewed for their reported techniques.

Main Results:

• The techniques employed in intentional replantation have undergone significant evolution over the decades.
• While some procedural aspects show considerable variation, others demonstrate notable consistency across studies.
• A limited number of studies utilized techniques aligning with contemporary endodontic surgical standards.

Conclusions:

• Intentional replantation is emerging as a more viable and accepted treatment option due to improved success rates.
• Standardization of techniques remains a challenge, with ongoing variations in procedural aspects.
• Further research and adherence to modern endodontic surgical principles are recommended for consistent outcomes.