Intentional Replantation of Mandibular First Molar With Two Years Follow Up- Case Report

Abstract

Backgrounds: Intentional replantation (IR) is a reliable and predictable treatment option for cases with failed non-surgical root canal treatment. The success of IR is found to be 52–95%. The current case is of 35years old female who presented with severe pain and swelling in lower right first mandibular molar with previously initiated non-surgical root canal treatment that resulted in instrument separation in mesio-buccal canal. Periapical radiograph showed rarefactions at furcation area, mesial and distal root apices. It was decided to complete the non-surgical root canal treatment followed by intentional replantation and retrograde filling with MTA. The tooth was found to be asymptomatic after two years follow up and periapical radiographs depicted complete healing. Intentional replantation with careful case selection is a successful, easy and reliable treatment option for hopeless cases. Atraumatic extraction, minimum extra-alveolar time and aseptic techniques during the procedure are the key factors for success of the procedure.

Cementoblastoma. Informe de un caso

“…5 Dadas las características clínicas, etarias, imagenológicas y morfológicas, el caso pudo ser abordado de una manera conservadora. [13][14][15][16][17] Es importante mencionar que, aunque reportamos un seguimiento superior al del primer año, es ideal mantener contacto con el paciente a fin de monitorear un poco probable episodio de recidiva de la lesión. 19,20…”

“…grande o «gigante», sin ser precisamente asociado a un trastorno genético autosómico dominante; concomitante a dientes temporales, involucro a seno y recidivante. [12][13][14][15][16][17] El manejo quirúrgico de estas entidades habitualmente es conservador, aunque depende de variables como el compromiso y la extensión de la lesión. En casos de lesiones de menor tamaño, suele ser suficiente con la remoción de la misma, incluso se encuentran reportes de casos en los cuales se colocan materiales de relleno con fines de regeneración desde el momento de la exéresis.…”

Endodontic methods for retreatment of periapical lesions: A review

“…Surgical procedure based on the controlled extraction of the affected tooth, to revise the root surface and perform endodontic treatment extraorally, followed by its repositioning in the original socket [31] . Proper case selection, atraumatic extraction, minimal extraoral time and aseptic techniques are the key factors for successful treatment [32] .…”

Managing intentional replantation of teeth during the SARS-CoV-2 pandemic

“…In addition, intentional replantation (IR) is a reliable and predictable treatment option to preserve teeth when orthograde or apical microsurgery treatments are unfeasible. 1 , 2 This brief letter focuses on the IR of teeth in dentistry.…”

“…Thus, proper case selection, minimizing extra-oral time, and aseptic techniques during the IR were reported as the key factors in increasing the success of the treatment. 2 …”