Pdf eightyear followup of successful intentional replantation. 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 tooth replantation. Intentional replantation may be a suitable treatment option for both trained. Although complications like ankylosis or root resorption may be unavoidable, delayed replantation of avulsed tooth may be a good alternative to prosthesis implant or fixed partial denture till the growth is completed due to preservation of the alveolar bone and psychological benefit to the patient. Some studies with successful results are also documented. Its mechanism of action has some similarities to that of caoh 2. From a clinical perspective, since avulsions occur infrequently, the average practitioner will not instinctively know how best to treat each rare case that heshe encounters. The use of mta or other slower setting materials is not advised as the blood can dissolve before set. Continued root formation after delayed replantation of an. Endodontics may use as an alternative to retreatment or endodontic microsurgery. All the selected teeth had a failed endodontic treatment and required surgical nonsurgical endodontic retreatment or extraction.
From a clinical perspective, since avulsions occur infrequently, the average practitioner will not instinctively know how best to. Treatment guidelines for avulsed matureimmature permanent teeth with prolonged extraoral time were. Teeth with fused roots are good candidates for extraction. Intentional replantation involves the purposeful removal of a tooth and its reinsertation into the socket after proper endodontic management and repair. 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. In reality, intentional replantation is highly predictable and should be considered before condemning select teeth as having a hopeless prognosis 1, 2. Few authors suggest the use of scaler, curette, pumice prophylaxis, diamond bur, sand paper disk. Replantation in dentistry indian dental academy leader in continuing dental education 2.
Conventional and surgical endodontic therapy are established as predictable clinical procedures that save teeth with pulpal disease. Replantation in dentistry certified fixed orthodontic. 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. While publications, including in vivo and in vitro studies, on the various aspects of replantation of avulsed permanent teeth are abundant, the replantation of primary incisors has received only scant and super. Although prognosis for the avulsed tooth is guarded, replantation, followed by a brief period of splinting and endodontic. Decoronation a conservative method to treat ankylosed teeth for. Intentional replantation of an endodontically treated tooth. Avulsion and replantation of primary teeth a feasible option sonu acharya1, susant mohanty1, antarmayee panigrahi 1, bismay singh and amit khatri2 f acial trauma in children can result in fractured, displaced and avulsed teeth which can have a negative effect on childs appearance, psychology and function 1. Delayed intentional replantation has many advantages compared to immediate intentional replantation and could serve as an. Replantation of a tooth with an out of socket drytime 60 minutes is futile because the periodontal ligament pdl cells are no longer viable. They concluded that adhesive cementation and intentional replantation may be an effective treatment modality for certain rof maxillary single. Tooth avulsion, which is characterized by complete dislodgement of the tooth from its alveolus, accounts for 0.
Historically, intentional replantation was deemed a treatment modality with limited success and a plan z treatment consideration. Replantation of an avulsed incisor after prolonged dry storage. However, in cases where a dental implant, nonsurgical retreatment or surgical treatment is not possible, intentional replantation may be a viable treatment option. Case report continued root formation after delayed. Jan 11, 2016 intentional replantation of maxillary second molar. The present report describes management of an immature avulsed lower central incisor 90 minutes after the accident. In this longterm clinical study the healing results following avulsion and replantation were investigated. Pdf intentional replantation has been practised for many years as a treatment modality for pulpless teeth.
Sep, 2016 intentional replantation tooth when to use it. At an 18month recall the tooth was clinically sound with no radiographic evidence of inflammatory or replacement root resorption. Intentional replantation of periodontally compromised. This technique can be useful for teeth that cannot be treated with traditional endodontic surgery. 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. 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. Intentional replantation of endodontically treated teeth i. The therapy comprised extraoral endodontic treatment and applications of medicaments to enhance periodontal healing.
Intentional replantation is considered as the last resort treatment alternative for periodontally involved teeth. 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. 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. Journal of dental sciences replantation of avulsed permanent anterior teeth. Continued development of a tooth root separate from the body of the tooth was not observed. Delayed tooth replantation after traumatic avulsion resulting in complete root resorption kallel ines, douki nabiha department of dental medicine, sahloul hospital, sousse, faculty of dentistry. Intentional tooth replantation is the last resort for saving natural teeth in treatment of the endodontic diseases. Defying ankylosisreplacement resorption with biodentin.
A tooth rescue box was developed and distributed to offer optimal storage conditions for avulsed teeth. Intentional replantation of endodontically treated tooth a case report saeed kazi m. Tooth replantation is the reinsertion and splinting of a tooth that has been avulsed of its socket. In the present case, a pulpitis combined severe periodontal destruction. Intentional replantation ir is a surgical procedure that has often been regarded as the last treatment option. A 6yearold girl sustained an avulsion injury to her upper left central permanent incisor. Clinical management of the intentional tooth replantation.
Mta has been investigated as a rootend filling material. The purpose of this study was to evaluate the repair process taking place in the delayed replantation of monkey teeth using calcium. Case report continued root formation after delayed replantation of an avulsed immature permanent tooth nimamoradimajd, 1 heidarzohrehei, 2 alirezadarvish, 1 hamedhomayouni, 1 andmamakadel 1 department of endodontics, dental school, qazvin university of medical sciences, qazvin, iran. Intentional replantation is a treatment option when more conventional forms of treatment either fail or are impossible. Bender division of endodontics, albert einstein medical center this article reports 31 cases of intentional replantation with an overall success rate of 80. Intentional replantation is the intentional removal extraction and replantation of a tooth. This case report presents two cases of delayed replantation of avulsed maxillary central incisors after an extended dry extraalveolar period. The tooth must be extractable without fracturing any of the root structure. Prioritising replantation of avulsed and grossly mobile luxated teeth nearing avulsion is associated with best possible long term prognosis and restoration of the landscape of the mouth. Tooth replantation is the reinsertion and splinting of a tooth that has been avulsed knocked or torn out of its socket.
Intentional replantation of endodontically treated tooth. Baykara and eratalay 1995 reported successful results of intentional replantation of periodontally involved teeth for a period of 8 years. Intentional replantation of maxillary second molar. Indications and case series of intentional replantation of. Intentional extraction and reimplantation of the same tooth. Case report defying ankylosisreplacement resorption with.
Pdf intentional replantation of maxillary second molar. This decade has shown a rising interest in ir with biomaterials in several dental disciplines, including rootend biomaterials, and periodontal regenerators 2, 3. Delayed tooth replantation after root surface treatment with. Intentional replantation ir is a concept that has been known for hundreds of years. Replantation of the avulsed tooth restores aesthetics and occlusal function shortly after the injury. Treatment of necrotic calcified tooth using intentional replantation procedure. It is less popular than implant and endodontic retreatment. The success of replantation of an avulsed tooth is dependent upon using calcium hydroxide as a treatment root canal filling completion of endodontic therapy before replantation length of time between avulsion and replantation immersing the tooth in fluoride solution before replantation. The tooth 62 was replanted in place and splinted with soft stainlesssteel wire and light cure resin figure 4. In total, 896 patients with 905 teeth were examined for intentional teeth replantation. Dental avulsion is a real dental emergency in which prompt management within 2040 minutes of injury affects the prognosis of the tooth. Preservation of natural dentition is the primary goal of any conservative treatment modality. Avulsion and replantation of primary teeth a feasible option.
All the selected teeth had a failed endodontic treatment and required surgicalnonsurgical endodontic retreatment or extraction. The end result may be a tooth hopelessly compromised due to a poor crownroot ratio fig 2. However, although rare, new resorptive processes could occur even after 5 or 10 years. 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.
The preservation of teeth with rootoriginated fractures springerlink. Tooth replantation is a form of restorative dentistry in which an avulsed or luxated tooth is. That means that if it is put back in it will have to be extracted sooner or later. Delayed tooth replantation after traumatic avulsion. Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth.
Tooth replantation list of high impact articles ppts. It is considered by many as a procedure of last resort. It is generally well accepted that the best procedure for treating an avulsed tooth is its replantation, which can yield, at least temporarily, the reestablishment of esthetics and function 2. Intentional replantation of a periodontally involved. Finally, in each case of failure, the tooth was extracted due to signs of inflammation and increased mobility. Laboratory of research in oral healh and maxillo facial rehabilitation lr12es11, faculty of dental medicine, university of monastir, monastir, tunisia. Indications and case series of intentional replantation of teeth. Intentional replantation of endodontically treated teeth. It has been proposed as an alternative to routine extraction. Greater than 15 minutes has a negative impact on the success rate of endodontic intentional replantation of a tooth. This strategy can be particularly helpful in lower second molars where proximity to the mandibular nerve and thickness of the buccal bone make endodontic surgery difficult.
It has largely been regarded as a last resort to save the tooth but the past decade has shown rising interest in this procedure 4, 5. The indications for intentional replantation include failed previous nonsurgical endodontics, an apicoectomy procedure is unfavorable. Dec 05, 2012 intentional replantation involves the purposeful removal of a tooth and its reinsertation into the socket after proper endodontic management and repair. The success of replantation of an avulsed tooth is. Delayed intentional replantation of periodontally hopeless. Infection can cause the tooth root to rapidly dissolve months to a year. Intentional replantation saves a tooth and preserves. It consists of a technique in which a tooth is intentionally extracted and reinserted into its socket immediately after endodontic treatment and apical repair outside of patients mouth. Delayed replantation of avulsed tooth with 15hours extra. Prospects for tooth survival and the incidence of pulpal necrosis, root resorption and ankylosis are unknown. The avulsed permanent tooth should be gently but well rinsed with saline, with care taken not to damage the surface of the root which may have living periodontal fiber and cells.
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. Nov 26, 20 intentional replantation ir is a concept that has been known for hundreds of years. This article describes the management of a 12year old male with four avulsed anterior maxillary permanent teeth. May 29, 2009 saving the natural tooth with intentional replantation intentional replantation is the intentional removal extraction and replantation of a tooth. Glossary of endodontic terms defines intentional replantation as insertion of a tooth into its alveolus after the tooth has been extracted for the purpose of performing treatment, such as root. Management of endodontic complication by intentional. The current case report describes the use of intentional replantation as a treatment modality in the management of a. Yaqoob1, summan dost1, sana siddiqui2 1pg trainee mcps periodontology, federal government services hospital, pakistan 2pg trainee mds operative dentistry, pakistan institute of medical sciences. Intentional replantation of a periodontally involved hopeless. Intentional replantation of endodontically treated tooth a. Management of avulsed permanent teeth with closed apex tooth immediately replanted at accident site verify normal position of the replanted tooth both clinically and radiographically follow the same treatment guideline for extra oral dry time of the replantation step. Options included either accessing or removing the crown and retreating the tooth. Once the tooth and mouth are clean an attempt can be made to replant in its.
Options included either accessing or removing the crown and retreating the tooth, apical root surgery, extraction or intentional replantation. Abstract pediatric dentists who treat a significant number of children under 4 years of. Laser therapies have long been proved for bactericidal and biostimulation effects. Replantation in dentistry certified fixed orthodontic courses by indian dental academy 1. Tooth replantation procedure, pain, complications, adults. A radiograph revealed infection surrounding this tooth and a large post in the distal canal.
Intentional replantation is defined as the purposeful extraction of a tooth in order to repair a defect or cause of treatment failure and thereafter the return of the tooth to its original socket. This article presents an intentional replantation of a periodontally involved hopeless mandibular molar tooth with 3 years of results. A tooth replantation procedure involves the teeth, gums, and mouth. Tooth avulsion in the young permanent dentition is a frequent finding, and its prognosis depends on the treatment of the avulsed tooth before replantation, the extraalveolar time, the storage medium, and the patients general health. Tooth avulsion in the permanent dentition constitutes a dental emergency. It can be concluded that intentional replantation with careful case selection can have a high success rate over 2 years. Biodentine fulfills the requirements for a suitable rootend filling material in that it. Intentional replantation saves a tooth and preserves natural. Abuhussein muhamad1, watted nezar2, and abdulgani azzaldeen3. 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. Mar 16, 2010 intentional replantation is the intentional removal of a tooth and replantion into the socket following endodontic manipulation.
Pdf intentional reimplantation is a procedure in which tooth extraction is performed followed by reinsertion of the extracted tooth into its own. Why is the tooth replantation surgical procedure performed. A technique to consider in rare cases when conventional surgery is impossible. Saving the natural tooth with intentional replantation. Replantation of an avulsed incisor after prolonged dry. Intentional replantation of periodontally compromised hopeless tooth.
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