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[Reimplantation of 83 teeth]
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1986
Summary
Reimplanting teeth after lesion treatment shows 69% success, but 20% fail, especially in older patients. Root lysis occurs in 28% of cases, impacting long-term outcomes.
Area of Science:
- Endodontics
- Periodontics
- Dental Traumatology
Context:
- Reimplantation of avulsed teeth is a common dental procedure.
- Periapical and pulpoperiodontal lesions pose challenges to tooth survival.
- Limited data exists on long-term outcomes of reimplanted teeth with these lesions.
Purpose:
- To evaluate the clinical success and failure rates of reimplanted teeth treated for periapical or pulpoperiodontal lesions.
- To identify factors influencing treatment outcomes, including patient age and type of root lysis.
- To assess the healing patterns, such as ankylosis versus new ligament formation.
Summary:
- Eighty-three teeth were reimplanted in 79 patients (ages 9-55) for periapical/pulpoperiodontal lesions.
- Complete success was observed in 69% of cases over 1-5 years; 20% failed, particularly in patients over 40.
- Root lysis occurred in 28% (11% radiographically), with inflammatory lysis leading to failure.
- Healing was predominantly by ankylosis; new alveolodental ligament formation was rare.
Impact:
- This study provides crucial data on the prognosis of reimplanted teeth with complex lesions.
- Findings highlight the increased risk of failure in older patients, informing treatment decisions.
- Understanding root lysis patterns aids in predicting outcomes and managing complications in dental reimplantation.