Intentional replantation - a clinical review of cases undertaken at a major UK dental school

Cunliffe, Joanne; Ayub, Khawer; Darcey, James; Foster-Thomas, Emma

doi:10.1038/s41415-020-1988-6

Cited by 7 publications

(4 citation statements)

References 51 publications

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“…It is suggested that these results are closely related to the extra-alveolar time stay of the replanted teeth, which is considered to be a crucial factor as it is directly involved in the preservation of the PDL cells [18,19]. Indeed, the analysis of IR clinical cases included in the present systematic review revealed that the extra-alveolar time ranged from a minimum of 4 min [66][67][68][69][70][71][72][73][74][75][76][77][78][79][80] to a maximum of 30 min . In particular, Jang et al [89] reported higher survival rates for teeth replanted within 15 min compared with teeth replanted after an extra-alveolar time of more than 15 min.…”

Section: Discussionmentioning

confidence: 93%

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

et al. 2022

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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.

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Section: Discussionmentioning

confidence: 93%

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

et al. 2022

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“…According to data obtained from case reports and literature reviews, all authors point out how crucial the need for the surgical act is to be minimally atraumatic, minimizing damage to periodontal ligament (CHO el al., 2016;CUNLIFFE et al, 2020;PORTILLA et al, 2021;KATAOKA;GONDIM, 2020). The tooth must be gripped firmly using forceps holding the crown above the CEJ (CUNLIFFE et al, 2020) and dislocation should be done gently in the vestibulolingual/palatine direction, with slight rotational force to perform tooth extraction (KATAOKA; GONDIM, 2020).…”

Section: Discussionmentioning

confidence: 99%

Intentional replantation as a last resort in the treatment of endodontic failures: Literature Review

Wilke¹,

Marques²,

Silva³

2021

IJAERS

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One of the main objectives of endodontic treatment is the decontamination of root canal systems visando alcançar o sucesso clínico com o paciente sem sinais e sintomas.However, sometimes endodontic treatment fails, causing a periradicular inflammatory lesion to persist. Given this, there are several treatment options, including non-surgical endodontic retreatment and apical microsurgery. Sometimes these options are unfeasible, and intentional reimplantation appears as the last therapeutic option for dental element extraction.The main objective of the present study was to analyze the effectiveness of intentional replantation as a last resort in the treatment of endodontic failures. As an inclusion criterion, articles from the PubMed, Google Scholar and SciELO database were used. In PubMed, 61 articles were found, 08 were selected. In Google Scholar, 131 articles were found, 8 of which were selected for the research. In SciELO, 2 articles were found, were 2 were selected. Also 4 articles were included by crossreasearch. Thus, a final sample of 23 articles inserted in the work was obtained. It is concluded that intentional reimplantation is a viable alternative, but the lack of a preestablished clinical protocol makes it difficult to practice the procedure. I.

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“…Recent studies show that IR has a more consistent success rate of 88% to 95%, and it is considered a more commonly accepted therapeutic strategy [ 108 , 109 ]. IR is a cost-effective alternative to root canal retreatment and tooth extraction in appropriate cases [ 110 , 111 , 112 , 113 , 114 , 115 ]. The long-term success and survival of IR depend on numerous factors, one of which is the type of root-end filling material [ 116 ].…”

Section: Clinical Applications In Endodonticsmentioning

confidence: 99%

Bioceramics in Endodontics: Updates and Future Perspectives

Dong

2023

Bioengineering

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Bioceramics, with excellent bioactivity and biocompatibility, have been widely used in dentistry, particularly in endodontics. Mineral trioxide aggregate (MTA) is the most widely used bioceramic in endodontics. Recently, many new bioceramics have been developed, showing good potential for the treatment of endodontic diseases. This paper reviews the characteristics of bioceramics and their applications in various clinical endodontic situations, including root-end filling, root canal therapy, vital pulp therapy, apexification/regenerative endodontic treatment, perforation repair, and root defect repair. Relevant literature published from 1993 to 2023 was searched by keywords in PubMed and Web of Science. Current evidence supports the predictable outcome of MTA in the treatment of endodontic diseases. Although novel bioceramics such as Biodentine, EndoSequence, and calcium-enriched mixtures have shown promising clinical outcomes, more well-controlled clinical trials are still needed to provide high-level evidence for their application in endodontics. In addition, to better tackle the clinical challenges in endodontics, efforts are needed to improve the bioactivity of bioceramics, particularly to enhance their antimicrobial activity and mechanical properties and reduce their setting time and solubility.

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Intentional replantation - a clinical review of cases undertaken at a major UK dental school

Cited by 7 publications

References 51 publications

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

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

Intentional replantation as a last resort in the treatment of endodontic failures: Literature Review

Bioceramics in Endodontics: Updates and Future Perspectives

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