Credibility of Intentional Reimplantation Techniques for Periodontally Compromised Teeth: A Report of Two Cases

Intentional reimplantation is a cautious procedure consisting of the deliberate extraction of an endodontically treated tooth, followed by the examination and manipulation of the root surface and the careful reinsertion of the tooth back into the socket. The main aim of attempting such an advanced and risky procedure is to meet patients' expectations of aesthetics and the retention of their natural dentition. This article tries to shed some light on two different approaches taken to perform this interdisciplinary procedure: to perform intentional reimplantation in a pathologically migrated tooth and in a tooth with a palatoradicular groove (PRG). A 25-year-old male and a 45-year-old female patient reported with mobility along with PRG with respect to tooth number 22 and pathological migration in relation to (irt) tooth number 11, respectively. Endodontic management, followed by intentional reimplantation, was done in both cases, with additional sealing of PRG, guided tissue regeneration (GTR) with bone graft, injectable platelet-rich fibrin (iPRF), and resorbable membrane in the first case. Intentional reimplantation served as a dependable and meticulous option for periodontally compromised cases, as well as for the functional and conservative management of an asymptomatic, malpositioned, pathologically migrated tooth.