A Systematic Review of the Survival of Teeth Intentionally Replanted with a Modern Technique and Cost-effectiveness Compared with Single-tooth Implants

Mainkar, Anshul

doi:10.1016/j.joen.2017.08.019

Cited by 46 publications

(66 citation statements)

References 45 publications

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“…, Torabinejad et al . , Mainkar ). Given that the life expectancy of the population is increasing globally (World Health Organisation , Thomson & Ma ), the longevity of dental restorations, including IRC, is finite.…”

Section: Intentional Reimplantationmentioning

confidence: 99%

“…Previously, intentional reimplantation was considered by many to be a treatment of last resort (Greiner & Hawkins 1991) and viewed as 'one of the most unreliable procedures in the dental field' (Weine 1980). The high survival rate of dental implants is one of the reasons for intentional reimplantation being overlooked as a viable treatment option for maintaining a tooth (Mainkar 2017). However, more recent evidence, where stringent treatment protocols based on improved understanding of root resorption and splint protocols, has confirmed that intentional reimplantation is more predictable than previously thought, and as such, is a viable treatment option in certain cases (Torabinejad et al 2015, Cho et al 2016, Becker 2018.…”

Section: Intentional Reimplantationmentioning

confidence: 99%

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External cervical resorption: part 2 – management

et al. 2018

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Effective management of external cervical resorption (ECR) depends on accurate assessment of the true nature and accessibility of ECR; this has been discussed in part 1 of this 2 part article. This aim of this article was firstly, to review the literature in relation to the management of ECR and secondly, based on the available evidence, describe different strategies for the management of ECR. In cases where ECR is supracrestal, superficial and with limited circumferential spread, a surgical repair without root canal treatment is the preferred approach. With more extensive ECR lesions, vital pulp therapy or root canal treatment may also be indicated. Internal repair is indicated where there is limited resorptive damage to the external aspect of the tooth and/or where an external (surgical) approach is not possible due to the inaccessible nature of subcrestal ECR. In these cases, root canal treatment will also need to be carried out. Intentional reimplantation is indicated in cases where a surgical or internal approach is not practical. An atraumatic extraction technique and short extraoral period followed by 2-week splinting are important prognostic factors. Periodic reviews may be indicated in cases where active management is not pragmatic. Finally, extraction of the affected tooth may be the only option in untreatable cases where there are aesthetic, functional and/or symptomatic issues.

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Section: Intentional Reimplantationmentioning

confidence: 99%

Section: Intentional Reimplantationmentioning

confidence: 99%

External cervical resorption: part 2 – management

et al. 2018

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“…43 Although intentional replantation is considered as a last resort treatment option, the treatment was reported to have a 90% F I G U R E 1 A patient with stabilized periodontal condition on a significantly reduced periodontium under supportive periodontal therapy. 46 The success of this procedure is influenced by several factors including the extent of periodontal disease and the presence of root fracture. 43 Between 6 and 12 months, the survival rate decreased from 85% to 80%, and after 48 months, the survival rate of replanted teeth stabilized.…”

Section: Intentional Replantationmentioning

confidence: 99%

“…The teeth are not mobile, and there are no periodontal pockets or active disease success rates in the first 6 months. 46,47 Although the survival rates of replanted teeth do not compete with those of the classic periodontal treatment and endodontic treatment, the survival is notably high and is a conservative option that may be viable for some patients. [43][44][45] A meta-analysis of 6 studies also showed a high success rate of 89.1% of intentionally replanted teeth.…”

Section: Intentional Replantationmentioning

confidence: 99%

“…[43][44][45] A meta-analysis of 6 studies also showed a high success rate of 89.1% of intentionally replanted teeth. 46 The success of this procedure is influenced by several factors including the extent of periodontal disease and the presence of root fracture. Nonetheless, it is a rather simple procedure that is less costly than dental implants and has minimal morbidity for the patient.…”

Section: Intentional Replantationmentioning

confidence: 99%

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In the dental implant era, why do we still bother saving teeth?

Clark

Levin

2019

Dental Traumatology

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Teeth are vital sensory organs that contribute to our daily activities of living. Unfortunately, teeth can be lost for several reasons including trauma, caries, and periodontal disease. Although dental trauma injuries and caries are more frequently encountered in a younger population, tooth loss because of periodontal disease occurs in the older population. In the dental implant era, the trend sometimes seems to be to extract compromised teeth and replace them with dental implants. However, the long‐term prognosis of teeth might not be comparable with the prognosis of dental implants. Complications, failures, and diseases such as peri‐implantitis are not uncommon, and, despite popular belief, implants are not 99% successful. Other treatment options that aim to save compromised or diseased teeth such as endodontic treatment, periodontal treatment, intentional replantation, and autotransplantation should be considered on an individual basis. These treatments have competing success rates to dental implants but, more importantly, retain the natural tooth in the dentition for a longer period of time. These options are important to discuss in detail during treatment planning with patients in order to clarify any misconceptions about teeth and dental implants. In the event a tooth does have to be extracted, procedures such as decoronation and orthodontic extrusion might be useful to preserve hard and soft tissues for future dental implant placement. Regardless of the treatment modality, it is critical that strict maintenance and follow‐up protocols are implemented and that treatment planning is ethically responsible and evidence based.

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