Intentional Replantation: A Procedure as a Last Resort

Rouhani, Armita; Javidi, Babak; Habibi, Morteza; Jafarzadeh, Hamid

doi:10.5005/jp-journals-10024-1081

Cited by 29 publications

(9 citation statements)

References 83 publications

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“…Progressive destruction of periodontal tissues and management of teeth with advanced endo-perio lesions. n) Management of maxillary sinusitis [6].…”

Section: Discussionmentioning

confidence: 99%

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Intentional Replantation of Endodontically Treated Tooth- A Case Report

Yaqoob

Dost

Siddiqui

2018

OAJDS

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Conventional and surgical endodontic therapy is accepted as foreseen clinical procedures that save teeth with pulpal disease which would otherwise be extracted. When a tooth's pulp is irreversibly damaged or infected due to caries, cracks, trauma, or leaky restorations, endodontic therapy or extraction are the only workable options [1]. Teeth undergoing initial endodontic therapy have a very high survival rate. Some teeth that continue to show signs of pathosis after the initial therapy will require nonsurgical (orthograde) retreatment [2]. Intentional replantation is valid and inevitable for cases in which nonsurgical endodontic retreatment is unsuccessful or is impractical and endodontic surgery is hindered because of anatomic restrictions [3].

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“…Progressive destruction of periodontal tissues and management of teeth with advanced endo-perio lesions. n) Management of maxillary sinusitis [6].…”

Section: Discussionmentioning

confidence: 99%

“…f) When labial/buccal plate has been damaged and gingival inflammation and the involvement of furcation exist. g) In ankylosed teeth, IR may be indicated only when the ankylosis is diagnosed at the early stages [6].…”

Section: Discussionmentioning

confidence: 99%

Intentional Replantation of Endodontically Treated Tooth- A Case Report

Yaqoob

Dost

Siddiqui

2018

OAJDS

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“…Intentional replantation (surgical repositioning) [14] involves extraction of the extruded tooth, which is then reinserted into the socket as quickly as possible [15]. This procedure can lead to inflammatory root resorption, external root resorption, or replacement resorption [16][17][18][19][20][21][22][23][24]. Indeed, the method has several contraindications and should therefore be used only in selected cases [18].…”

Section: Introductionmentioning

confidence: 99%

“…This procedure can lead to inflammatory root resorption, external root resorption, or replacement resorption [16][17][18][19][20][21][22][23][24]. Indeed, the method has several contraindications and should therefore be used only in selected cases [18]. A promising alternative is orthodontic repositioning [25][26][27][28][29], which involves moving the tooth back into its original position.…”

Section: Introductionmentioning

confidence: 99%

Use of Orthodontic Methods in the Treatment of Dental Luxations: A Scoping Review

et al. 2021

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(1) Background: Treating dental luxation injuries is challenging for the clinician. Dental luxations account for 18–33% of injuries to permanent teeth and can be addressed using different therapeutic approaches. The present work was conducted with two aims: (i) to evaluate, through a scoping review, current knowledge of the orthodontic methods (repositioning and stabilization splinting) that can be used at the time of the trauma, and (ii) to investigate the frequency and type of pulp consequences arising after these traumatic injuries. (2) Methods: The literature search was conducted in the period June 2020–December 2020 using the PubMed/MEDLINE, SCOPUS and Web of Science databases. The research questions were formulated according to the PICO (Population, Intervention, Comparison, Outcomes) method and considered the following aspects: type of luxation injury and stage of root development; use of orthodontic repositioning and splinting techniques; frequency and type of pulp consequences; and compliance of treatments with international guidelines. (3) Results: The initial screening of the databases, using the selected search keywords, yielded a total of 587 articles, just 8 fully met the inclusion criteria. Closer analysis of these 8 publications revealed that they would not produce clear meta-analytical data. This made it necessary to limit the data collected to the following six items: number and type of injuries, initial therapeutic intervention, duration of follow-up, number, and type of different pulp consequences. (4) Conclusions: While orthodontic techniques are commonly used to treat dental intrusions, in the case of extrusive and lateral luxation injuries, they are less frequently used and the orthodontic approach is generally confined to the stabilization phase. Among the various possible pulp consequences, many authors consider only pulp canal obliteration (PCO) and pulp necrosis (PN), often tending to overlook physiological healing (pulp survival) and the possible development of PN after PCO. There is therefore a clear need for new, high-quality clinical studies of this topic based on systematic and standardized data collection.

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“…18 IR is described as extraction of a tooth for extraoral endodontic microsurgery and replantation of the tooth in its socket. 19,20 Endodontic microsurgery and IR offer opportunities to observe RCO directly under the microscope after removing the periapical soft tissues, resecting the roots and staining with methylene blue.…”

Section: Introductionmentioning

confidence: 99%