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Intentional Tooth Replantation: Current Evidence and Future Research Directions for Case Selection, Extraction

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Intentional tooth replantation (ITR) offers a viable alternative for saving teeth when other treatments fail. Further research into root morphology, surgical techniques, and socket management can improve patient outcomes.

Keywords:
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Area of Science:

  • Dentistry
  • Oral Surgery
  • Endodontics

Background:

  • Intentional tooth replantation (ITR) is a key procedure for preserving teeth when conventional endodontic therapy is challenging or has failed.
  • ITR involves extracting the tooth, performing extraoral endodontic therapy, and replanting it into the preserved alveolar socket.
  • Growing evidence supports ITR, enhancing its viability as a treatment option.

Purpose of the Study:

  • To review and expand upon existing evidence for ITR.
  • To identify new research areas, including root morphology, extraction and surgical techniques, socket maintenance, and post-operative stabilization.
  • To solidify ITR's role in endodontic and oral surgery practices.

Main Methods:

  • A comprehensive literature review was conducted using the PubMed database.
  • Search parameters included dates from January 1, 1980, to July 1, 2025.
  • Focus areas were oral surgery techniques, atraumatic extraction, root anatomy variations, and ITR outcomes.

Main Results:

  • The review synthesizes current data on ITR procedures and outcomes.
  • Identifies critical factors influencing ITR success, such as root morphology and surgical technique.
  • Highlights the importance of atraumatic extraction and meticulous socket management.

Conclusions:

  • ITR, while not yet widespread, is a valuable treatment for complex dental cases.
  • Further research is needed to optimize ITR protocols and outcomes.
  • Improved data collection can enhance patient results and interdisciplinary collaboration between endodontists and oral surgeons.