Intentional Replantation: A Last Resort for Treatment of Periodontally Hopeless Teeth

Abstract

Periodontal disease is an inflammatory response to the bacterial biofilm which leads to inflammation of periodontal structures and further results in loss of attachment and bone loss which in severe cases leads to mobility of teeth, eventually may cause exfoliation of teeth. Treatment option for excessive mobile teeth is extraction and replacement can be carried out with fixed partial denture or implant placement. In patients with financial constraints and also the patients in whom the fixed partial denture is contraindicated, intentional replantation of periodontally hopeless teeth is an alternative treatment modality. It’s a procedure of purposely removing a tooth and replacing it in a more apical position. Thus, this procedure of intentional replantation can be considered as an alternative treatment modality rather than extraction of periodontally hopeless teeth.

Intentional Replantation with Simultaneous Periapical Surgery- A Case Report with One Year of Follow-Up

“…At the end of six months, the author demonstrated reduction in PPD clinically and no root resorption or ankylosis was observed radiographically [1]. Intentional replantation was suggested as an alternative approach to extraction when no other treatments could be considered [10].…”