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Saving Natural Teeth: Intentional Replantation-Protocol and Case Series
Derek Grzanich1, Gabriella Rizzo1, Renato Menezes Silva1
1Department of Endodontics, University of Texas Health Science Center at Houston, School of Dentistry at Houston, Houston, Texas.
Journal of Endodontics
|October 25, 2017
Summary
Intentional replantation offers a viable last resort for saving hopeless teeth when other endodontic treatments fail. This procedure involves careful extraction, root-end treatment, and rapid replacement, emphasizing atraumatic techniques for successful outcomes.
Area of Science:
- Endodontics
- Dental Surgery
Background:
- Intentional replantation is a predictable endodontic treatment option when conventional retreatment is not feasible or surgical access is limited.
- It serves as a last resort for preserving teeth deemed unsalvageable by other means.
Observation:
- The study details a protocol for intentional replantation in adult patients (average age 61) with molars previously treated unsuccessfully.
- Cases involved teeth diagnosed with apical periodontitis, requiring atraumatic extraction, root-end resection, ultrasonic preparation, and bioceramic root-end filling.
- Procedures were performed under microscopy, with minimal extra-alveolar time and gentle curettage of granulomatous tissue.
Findings:
- The presented protocol demonstrates a method for intentional replantation.
- Successful outcomes depend on meticulous case selection and precise execution of atraumatic extraction, root-end treatment, and replantation techniques.
Implications:
- Intentional replantation, when carefully performed with advanced techniques and materials, can be a successful strategy for preserving "hopeless" teeth.
- This approach highlights the importance of preserving natural dentition when possible, even in complex endodontic cases.
