Intentional replantation is a treatment option when more conventional forms of treatment either fail or are impossible3. Survive for split tooth by intracanal adhesive with. The indications for intentional replantation include failed previous nonsurgical. This indication is relevant when nonsurgical root canal treatment is not possible or has not been successful and when surgical endodontics is not advisable. Conventional and surgical endodontic therapy is accepted as foreseen clinical procedures that save teeth with pulpal disease which would.
Pdf intentional replantation is a recognized endodontic procedure in cases in which root canal and surgical endodontic treatments are not. Intentional replantation is defined by grossman as the removal of a tooth and its almost immediate replacement, with the object of obturating the canals apically while the tooth is out of the socket. Historically, intentional replantation was deemed a treatment modality with limited success and a plan z treatment consideration. Tooth replantation is the reinsertion and splinting of a tooth that has been avulsed knocked or torn out of its socket. Replantation can be implemented to help repair teeth with procedural errors, such as separated files that cannot be retrieved and adversely affect the healing, as well as overfills of gutta percha that cannot be retrieved conventionally and cause failure of the case. Many authors agree that it should be reserved as the last resort to save a tooth after other procedures have failed or would likely to fail. Although not the primary therapy of choice, extraction and reimplantation of the same tooth are indicated in situations when the patient andor the existing clinical conditions will not accept alternative solutions such as root canal treatment, apicoectomy, or implants. Aug 25, 2017 case selection and armamentarium are critical in intentional replantation. Pdf treatment of necrotic calcified tooth using intentional. A tooth replantation procedure involves the teeth, gums, and mouth.
It can be concluded that intentional replantation with careful case selection can have a high success rate over 2 years. Intentional replantation ir is a concept that has been known for over a thousand years, it is defined by grossman 1966 as an atraumatic extraction of a tooth and its reinsertion into its. This decade has shown a rising interest in ir with biomaterials in several dental disciplines, including rootend biomaterials, and periodontal regenerators 2, 3. Tooth replantation is a form of restorative dentistry in which an avulsed or luxated tooth is reinserted and secured into its socket through a combination of dental procedures. Intentional rotational replantation was used, making the tooth was occupied a different position inside alveolus, allowing thus that the endoffracturewassupragingival. Jan 11, 2016 intentional replantation of maxillary second molar. Intentional replantation of a mandibular canine with multiple.
Intentional replantation is defined as the extraction of the tooth and its reinsertion into the socket after sealing the resected root end with a rootend filling material 6. Intentional replantation is extraction of a tooth to do extraoral root canal therapy, curettage of apical lesion when present, and its replacement in its socket. Casereport treatment of necrotic calcified tooth using intentional replantation procedure nimamoradimajd,1 armitaarvin,2 alirezadarvish,1 sarehaflaki,1. Endodontics may use as an alternative to retreatment or endodontic microsurgery.
It is less popular than implant and endodontic retreatment. Generally it is thought that it may be considered as a. Sep, 2016 a single rooted premolar is the preferred tooth. Although some studies have shown favorable results, intentional replantation of a periodontally involved tooth seems to carry the risk of reinfection and unstable tooth. The patient was also informed about the treatment procedures, the costs, the success outcomes, and the complications of both treatments. Tooth replantation procedure, pain, complications, adults. He had previous root canal treatment about 10 years earlier, and this tooth was the. Intentional replantation is defined as the extraction of the tooth and its reinsertion int o the socket after sealing the resected root end with a rootend filling material 6. It is considered by many as a procedure of last resort. Tooth replantation is a surgical procedure that involves reinserting a tooth that has been knocked or torn from its socket, back to its normal position. Replantation as treatment department of surgery and. This technique consists in the extraction followed by reinsertion of the tooth in its source socket 4,5 and is considered as an option for adverse situations 6,7.
Intentional replantation procedure is usually considered as a last resort, but in some cases that conventional endodontic treatment or apical surgery is impossible or impractical, intentional replantation may be. Greater than 15 minutes has a negative impact on the success rate of endodontic intentional replantation of a tooth. Extraction and replantation of the tooth has been performed to manage several different problematic cases such as. Case selection and armamentarium are critical in intentional replantation. Intentional replantation is considered when the conventional forms of treatment options either fail or become impossible. Purpose teeth are replanted to prevent permanent loss of the tooth, and to restore the landscape of the mouth so that the patient can eat and speak normally. To explore the clinical effect, the healing modes, and the potential influence factors of intentional replantation for periodontally hopeless teeth in combination with regeneration techniques. Material and methods the procedures of intracanal adhesive and intentional replantation were described as follows. Many complete amputations and incomplete amputations have a component of avulsion, often with tendons and nerves dangling from the amputated part. Intentional replantation of endodontically treated tooth medwin. Intentional replantation of a tooth involves removing the tooth and reinserting it into the socket after endodontic manipulation or ob turation of the canals or both. Clinical evaluation of a new extraction method for. However, although rare, new resorptive processes could occur even after 5 or 10 years. Aug, 2019 to explore the clinical effect, the healing modes, and the potential influence factors of intentional replantation for periodontally hopeless teeth in combination with regeneration techniques.
Intentional replantation of periodontally compromised. Conventional and surgical endodontic therapy are established as predictable clinical procedures that save teeth with pulpal disease. Intentional replantation saves a tooth and preserves natural function case studies in endodontics patient profile patient. Intentional replantation is a procedure by which the tooth is gently extracted, the apicoectomy and retrofilling procedure are performed extraorally, and the tooth is replanted in the alveolar socket. Intentional replantation is an accepted endodontic treatment procedure in which a tooth is extracted and treated outside the oral cavity and then inserted into its socket to correct an obvious clinical or radiographic endodontic failure. Intentional replantation is a recognized endodontic procedure in cases in which root canal and surgical endodontic treatments are not. From this point of view, intentional replantation may be an alternative choice for some of these cases 4,5. A total of 18 cases 90% were successful over a mean followup period of 15. Intentional replantation ir is a procedure which involves the purposeful removal of a tooth and its reinsertion into the socket almost immediately after sealing the apical foramina.
Background intentional replantation is extraction of a tooth to do extraoral root canal therapy, curettage of apical lesion when present, and its replacement in its socket. Dec 05, 2012 intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth. Indications and case series of intentional replantation of. Therefore, in this method, a method of adhering tooth fracture by intentional replantation was selected. When nonsurgical and surgical endodontic procedures have been deemed impossible and the patient desires all possible efforts be made to avoid tooth extraction and implant replacement, intentional replantation could be considered as the last treatment option. Case report treatment of necrotic calcified tooth using. Intentional replantation has been defined as the deliberate extraction of a tooth and after evaluation of root surfaces, endodontic manipulation, and repair. Indications and case series of intentional replantation of teeth. Intentional replantation of a periodontally involved hopeless. Saving a tooth with intentional replantation previous posts have discussed the often overlooked surgical option of intentional replantation. Replantation in dentistry certified fixed orthodontic. Intentional replantation was operated on fortyeight periodontally hopeless teeth from fortyeight patients.
Intentional replantation ir is a surgical procedure that has often been regarded as the last treatment option 1. Mar 16, 2010 intentional replantation is the intentional removal of a tooth and replantion into the socket following endodontic manipulation. Success with this treatment is dependent upon atraumatic extraction, minimal manipulation of the periodontal ligament, rapid replacement into the socket, and minimizing occlusal forces following replantation. Intentional replantation of maxillary second molar. Jkacd volume 36, number 3, 2011 a new extraction method for intentional replantation introduction intentional replantation ir is the final treatment option to save teeth when the conventional or nonsurgical root canal treatment fail and periradicular surgery is unfeasible. Jan 03, 2018 intentional replantation is considered when the conventional forms of treatment options either fail or become impossible. Intentional replantation involves the purposeful removal of a tooth and its reinsertation into the socket after proper endodontic manipulation and repair1,2. Intentional replantation journal of oral health and dental. Intentional replantation ofatoothinvolvesremoving the tooth and reinserting it into the socket after.
It has been proposed as an alternative to routine extraction. Intentional tooth replantation, apicoectomy, and root canal. Intentional tooth replantation, apicoectomy, and root canal part 3 of 7 robyn openshaw, msw may 06, 2012 this post may contain affiliate links thanks to gsg reader sheryl, whose husband is a dentist, for suggesting i research intentional replantation. This case report aims to demonstrate the effectiveness of intentional tooth replantation in a late treatment of extrusive luxation. Intentional replantation is the intentional removal of a tooth and replantion into the socket following endodontic manipulation. From a biologic perspective, removal of the apical segment of the tooth along with the attached granulation tissue, retrosealing with bioceramic putty and reinsertion of the tooth into. The objectives of extraction with replantation are to remove the tooth intentionally from its socket, carry out normal surgical rootend procedures extraorally and replant the tooth. Intentional replantation ir is a surgical procedure that has often been regarded as the last treatment option. Intentional replantation is an alternative to tooth extraction and prosthetic replacement when conventional endodontic treatment modalities are unfeasible or contraindicated. Twentyyear followup of an unconventional intentional replantation r. Apical surgery, endodontic treatment, intentional replantation.
Intentional replantation of a mandibular canine with multiple iatrogenic. Replantation of degloved or avulsed tissue is a challenging technical feat, but reports of successful replantations of degloved soft tissue have appeared since the early days of replantation surgery. Intentional replantation of endodontically treated teeth. The purposes of tooth replantation is to resolve tooth loss and preserve the natural landscape of the teeth 1 2. Delayed intentional replantation of periodontally hopeless. Twentyyear followup of an unconventional intentional. In reality, intentional replantation is highly predictable and should be considered before condemning select teeth as having a hopeless prognosis 1, 2. Intentional replantation microsurgery in endodontics.
Surgical management with intentional replantation on a tooth. Treatment of necrotic calcified tooth using intentional. Intentional replantation saves a tooth and preserves natural. A 71yearold male with diabetes and high blood pressure symptoms. Mahalinga bhat, bsc, mds abstract for many years, intentional replantation has been a treatment option for pulpless teeth and an effective strategy for teeth that would be difficult, if not impossible, to treat using traditional root canal therapy. Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth. Intentional extraction and reimplantation of the same tooth.
Intentional replantation of periodontally involved hopeless. Since carried out by hand, it is possible to remove the dentin on the fracture surface to the vicinity of the root surface, so it is possible to increase the adhesion area. A technique to consider in rare cases when conventional surgery is impossible. Intentional replantation is an accepted endodontic treatment procedure in which a tooth is extracted and treated outside the oral cavity and then inserted. Intentional replantation is a procedure which involves the purposeful removal of a tooth and its reinsertion into the socket almost immediately after sealing the apical foramina. Preservation of natural dentition is the primary goal of any conservative treatment modality. Intentional replantation a last resort treatment or a. Abstract intentional replantation is an accepted endodontic treatment procedure in which a tooth is extracted and treated outside the oral cavity and then inserted into its socket to correct an obvious radiographic or clinical endodontic failure.
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