European Society of Endodontology position statement: Surgical extrusion, intentional replantation and tooth autotransplantation

Abstract

This European Society of Endodontology (ESE) position statement on surgical extrusion, intentional replantation and tooth autotransplantation represents the consensus of an expert committee, convened by the ESE. A narrative review (

Extraction and Replantation of a peri-apically infected tooth

“…Removing an infected tooth and performing an in-hand apicoectomy and retrograde filling is not new (1). Nonetheless, we need to be reminded that such treatment is within the standard of care in dentistry.…”

“…Maintaining the osseous walls is imperative. The bone is needed for the stability of the re-implanted tooth and reattachment of the periodontal ligament (1). A facial osseous dehiscence or fenestration may prevent adequate stability for healing.…”

“…Out-of-bone time should be less than one hour or as little time out of the socket as possible (1,5,6). Nonetheless, there are reports of young patients with avulsed teeth out of the bone for much more than 1 hour (1,6).…”

“…Some teeth may be deemed unsalvageable but with appropriate applications these deplorable teeth may be given increased longevity. This is a report of a successful extraction, apical resection, retrograde filling and intentional replantation of a maxillary left second premolar (1).…”

Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review

“…Variables influencing the outcome are represented by an atraumatic extraction method, which provides the least possible damage to the cementoblast layer on the root surface, and by a rapid extra-alveolar handling, lasting less than 15 minutes, without using chemicals potentially harmful to periodontal ligament cells' survival, such as sodium hypochlorite [73].…”