Intentional Replantation of Single-Rooted and Multi-Rooted Teeth: A Systematic Review

Abstract

The technique of intentional replantation can provide a second chance to save teeth that would be destined for extraction. Therefore, the present systematic review aimed primarily to estimate tooth survival after intentional replantation and secondarily to compare treatment outcomes in single-rooted and multi-rooted teeth. The study protocol was developed before the analysis according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Articles were electronically searched in PubMed/MEDLINE, the COCHRANE library and Google Scholar by two independent reviewers, and those that met the eligibility criteria were included. A statistical analysis using the chi-square test with a p-value of <0.05 was performed on the reported outcomes of intentional replantation. A total of 44 single-rooted replanted teeth with five failures (11.36%) and 42 multi-rooted replanted teeth with six failures (14.28%) were reported in the literature, corresponding to a survival rate of 88.64% and 85.57%, respectively. The overall survival rate for the replantation procedure was 86.7%, indicating that intentional replantation can be considered a safe therapeutic choice, with no statistically significant difference between the survival rates of single-rooted and multi-rooted replanted teeth.

A novel surgical treatment approach for the vertical root fracture of posterior teeth: a case report with 24-month review

“…To avoid this, small trapezoidal retention forms were added to both sides of fracture to enhance the fracture fixation. (ii) Although tooth replantation has been used in clinic for decades and shows a high success rate [ 11 , 12 ], the periodontal healing ability is still the determining factor for the treatment result of tooth replanation. Resin alone cannot heal the periodontal defects due to its limited bioactivity for the regeneration of periodontal tissues [ 5 ].…”

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

“…Intentional replantation is the process of atraumatic extraction of teeth, and root end filling followed by repositioning into the socket [3,4]. Some authors choose to utilize it as a last option to save a tooth for various reasons [5]. This is a simple, economical, and fast procedure with minimal postoperative discomfort [6].…”

Tooth intentional replantation from 1964 to 2023: A bibliometric analysis

“…5,7,12 Multiple studies have addressed this issue in depth and provided valuable guidance for subsequent research. 3,[13][14][15][16] Bibliometric analysis is an objective and reliable method of providing quantitative information on a scientific domain based on previously published articles. This approach has increasingly been used in dentistry.…”

“…IR, which is the final treatment option for preserving natural teeth, has a high success rate 5,7,12 . Multiple studies have addressed this issue in depth and provided valuable guidance for subsequent research 3,13–16 …”