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Bridging the Gap between Endodontic Failure and Success: A Case Report on Intentional Replantation
Gaurav Kumar1, Krishna Prasad Biswas2, Navin Mishra3
1Department of Conservative, Endodontics and Aesthetic Dentistry, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Contemporary Clinical Dentistry
|May 6, 2024
Summary
Intentional replantation successfully treated a failed root canal on a mandibular molar. This dental procedure preserved the tooth, promoting favorable healing and function after 12 months.
Area of Science:
- Dentistry
- Endodontics
- Oral Surgery
Background:
- A 15-year-old patient presented with a previously root canal-treated mandibular right second molar.
- Clinical examination revealed tenderness to percussion, and radiographic evaluation showed a separated instrument and periapical radiolucency.
Observation:
- Intentional replantation was performed under local anesthesia.
- The extracted tooth underwent root canal cleaning and disinfection.
- The socket was augmented with bone graft material and a growth factor, followed by placement of a stainless steel crown.
Findings:
- A 12-month follow-up demonstrated a well-healing periapical lesion with no signs of infection.
- The patient remained asymptomatic, and the reimplanted tooth was fully functional.
Implications:
- Intentional replantation is a viable treatment option for complex endodontic failures.
- This case highlights the potential for successful tooth preservation and favorable outcomes in challenging dental scenarios.
