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 P… Show more
“…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 ].…”
Background
Up to 25% of the tooth extraction after root canal treatment could be attributed to the vertical root fracture (VRF). The treatment choice for teeth with VRF would mostly be the extraction despite some repairing methods were also reported. The repairing treatment result of VRF would mostly depend on the fixation strength and the bioactivity of the repairing materials, especially for the posterior teeth with high masticating stresses. This case report designed a novel surgical treatment approach for the VRF of posterior teeth.
Methods
a maxillary premolar with buccal-palatal complete VRF was treated with a new dual-layered repairing approach using adhesive resin + iRoot BP Plus bioceramic cement to fill the modified fracture line with retention forms through the intentional replantation.
Results
At the 24-month review, the tooth showed desirable periodontal healing and normal function.
Conclusions
This case report indicated that the dual-layered repairing approach might be effective for saving the posterior teeth with VRF. Nevertheless, further clinical trials are needed for its long-term result.
“…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 ].…”
Background
Up to 25% of the tooth extraction after root canal treatment could be attributed to the vertical root fracture (VRF). The treatment choice for teeth with VRF would mostly be the extraction despite some repairing methods were also reported. The repairing treatment result of VRF would mostly depend on the fixation strength and the bioactivity of the repairing materials, especially for the posterior teeth with high masticating stresses. This case report designed a novel surgical treatment approach for the VRF of posterior teeth.
Methods
a maxillary premolar with buccal-palatal complete VRF was treated with a new dual-layered repairing approach using adhesive resin + iRoot BP Plus bioceramic cement to fill the modified fracture line with retention forms through the intentional replantation.
Results
At the 24-month review, the tooth showed desirable periodontal healing and normal function.
Conclusions
This case report indicated that the dual-layered repairing approach might be effective for saving the posterior teeth with VRF. Nevertheless, further clinical trials are needed for its long-term result.
“…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].…”
Intentional replantation involves the purposeful extraction of a tooth, which is then reinserted back into its socket. It is considered one of the alternate options to be considered in the management of hopeless teeth presenting with advanced periodontal destruction in anterior teeth. Intentional replantation is generally opted for the management of endodontically reinfected teeth with good periodontal support and contraindicated in teeth with reduced periodontal support. The main advantage is that the inaccessible areas of the tooth surfaces can be easily visualized without causing damage to the adjacent periodontal tissues thereby promoting reconstruction of periradicular tissues. However, recent evolving studies have extended the method of intentional replantation for the periodontally hopeless tooth. This case report is about the management of a periodontally hopeless tooth with intentional replantation in the lower central incisor with simultaneous periapical surgery in the lateral incisor. This case has been followed up every three months for one year.
“…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.…”
Section: Introductionmentioning
confidence: 99%
“…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 …”
Background/AimThere is no thorough overview of intentional tooth replantation techniques. We performed a bibliometric analysis of the development of intentional tooth replantation.Materials and MethodsA comprehensive search of the Web of Science and SCOPUS databases was conducted in February 2023. Original articles and reviews of human studies with “intentional replantation” or synonyms in the titles, abstracts, or keywords were included. A descriptive analysis of bibliographic data, co‐occurrence analysis, and coupling of publications was performed. Multivariate analysis was used to explore the bibliometric parameters associated with the citation counts.ResultsThe study included 171 papers, which were co‐authored by 500 individuals affiliated with 217 institutions from 28 countries/regions. The USA contributed the greatest number of publications, followed by China, and Japan. The USA had 694 citations, followed by Japan (210), and Turkey (210). The Journal of Endodontics and Dental Traumatology contributed the most citations. Five directions for future research were identified based on the coupling relationships of publications, including “managing vertical root fractures with adhesive resin using the intentional replantation technique,” “intentional replantation for periodontally hopeless or endodontically compromised teeth,” “intentional replantation for treating abnormalities of morphological development,” “outcomes and prognosis factors of intentional replantation,” and “treating root replacement resorption by intentional replantation.” Multivariate analysis showed that the publication year, Journal Citation Reports ranking of journals, study design, and disease type were predictors of citation counts.ConclusionsThis bibliometric analysis provides a comprehensive description of the intentional replantation technique. The USA published the greatest volume of papers and generated the most citations. The Journal of Endodontics and Dental Traumatology are considered the most influential. The Journal Citation Reports journal ranking (Q1, Q2), study design (case reports, cohort studies), and disease type (crown root fractures) were associated with the citation counts.
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