Replantation of tooth as alternative to deletion (clinical case)

Abstract

Urgency. Replantation of the tooth the expeditious return of an extracted tooth in his hole. Despite the fact that the operation of tooth replantation has been known since the 19th century, to this day in dental practice, this technique is rarely used, although in some cases this type of organ-preserving operations is the only alternative to tooth extraction.Purpose. To analyze the effectiveness of the operation of tooth replantation carried out by the classical method.Materials and methods. Replantation of tooth 1.2 was carried out according to the classical method. Evaluation of optical density of bone tissue surrounding the root apex of the replanting tooth 1.2 was carried out with the use of computed tomography in X-ray output 0,04 mSv according to Hounsfield. The efficiency of the graft mobility was determined using the apparatus Periotest M Siemens (Medizintechnik Gulden). The values of the device from –8.0 to +9.9 correspond to the lack of mobility of the tooth (osteoid type of tooth fixation), from +10.0 to +19.9 — the first degree of mobility, from +20.0 to 29.9 — the second degree, from +30.0 and more — the third degree.Conclusion. 1 year 7 months after the replantation of tooth 1.2 we observed a complete restoration of its functions and the absence of pathological mobility.