Intentional Replantation Of Teeth Research Articles

Tooth intentional replantation from 1964 to 2023: A bibliometric analysis.

There is no thorough overview of intentional tooth replantation techniques. We performed a bibliometric analysis of the development of intentional tooth replantation. A 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. The 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. This 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.

Clinical Research on the Safety Evaluation of Platelet-rich Plasma Treatment in Oral Diseases: A Study Protocol

Background Platelet-rich plasma (PRP) is a biological product obtained from autologous blood that contains growth factors, promoting the healing and regeneration of human tissues. Several oral diseases require surgical intervention, producing residual wounds that undergo a healing process, accompanied by pain, swelling, superinfections, and bone remodeling. This protocol study aims to evaluate the safety of PRP use for the following dental procedures: post-extraction socket healing, periodontal tissue regeneration, maxillary sinus floor elevation, tooth transplantation, and intentional tooth replantation.

A Novel Surgical Approach for the Successful Removal of Overextruded Separated Endodontic Instruments

Endodontic procedures can result in various complications. Separation of the endodontic instrument is a common complication of incorrect use or overuse of the instrument. However, a separated endodontic instrument may hinder cleaning and shaping during endodontic treatment procedures, which can potentially impact prognosis. Therefore, it is necessary to manage this complication by removal of the separated instruments from inside the root canal. Although several devices are used, nonsurgical removal for retreatment remains difficult. We report the case of a failed attempt to manage a separated endodontic instrument nonsurgically by a private dentist, which resulted in extrusion of the instrument beyond the root apex and its migration into the mandible. We describe a novel surgical approach involving intentional tooth replantation combined with alveolar osteotomy. There have been few reports on the management of separated endodontic instruments that were pushed out beyond the root apex. Our novel surgical approach suggests a technique for the potential removal of a separated endodontic instrument extruded beyond the root apex.

CLINICAL AND RADIOGRAPHIC EVALUATION OF INTENTIONAL REPLANTATION OF TEETH UTILIZING ATRAUMATIC EXTRACTION TECHNIQUE AND BIODENTIN AS ROOT END RESTORATIVE MATERIAL. AN IN VIVO STUDY

Aims: Aim is to evaluate the clinical and radiographic outcome of Intentional Replantation of teeth utilizing Atraumatic extraction technique and Biodentin as root end restorative material
 Materials and Methods: Any patients irrespective of age & sex who reported to the Department of Conservative Dentistry & Endodontics, D. J. College of Dental Sciences & Research with the post endodontic treatment periapical pathology where orthograde retreatment and apical surgery was unfeasible or declined by patients and where extraction be the last resort was selected for the procedure. Informed consent was taken. Retention and healed status without complications (periapical radiolucency, external root resorption, ankylosis, signs/symptoms, probing <6 mm) was recorded and analyzed with Kaplan-Meier survival analysis and Cox proportional hazard regression model (P < .05). Bivariate associations of the investigated variables with the main complications (ankylosis, periapical radiolucency, external root resorption) evaluated. 
 Results: Cumulative healed rates from 60% at 6 months to 92% at 12months seen. Complications leading to extraction observed in 1 of 15 attending teeth. The Kaplan-Meier survival function suggested an expected 1-year cumulative retention rate of 92%. Among the 15 teeth, 1 tooth with complication was due to persistent periapical radiolucency and mobility.
 Null hypothesis was that IR is to preserve the natural dentition, there by upholding the main goal of Conservative treatment.
 Conclusions: Within the limitations of this study, after analyzing the results and obtaining a complete follow up of 12 months radiographically and clinically, it can be concluded that Intentional replantation is an alternative treatment and should be included in the savior procedures as it has shown a success rate of 92%.
 Keywords: endodontic complications, intentional replantation, physics forceps, Biodentin

Intentional Replantation of Teeth is a Viable and Cost-effective Alternative Treatment to Single-Tooth Implants

A Systematic Review of the Survival of Teeth Intentionally Replanted with a Modern Technique and Cost-effectiveness Compared with Single-tooth Implants. Mainkar A. J Endod 2017:43(12):1963-8. Information not available. Systematic review/meta-analysis.

Clinical management of the intentional tooth replantation

Intentional tooth replantation is the last resort for saving natural teeth in treatment of the endodontic diseases. In order to promote the utilization, standardize the operation and improve the success rate of this treatment, this review suggests the indication, discusses the key points of the surgical procedure, proposes the path of the diagnosis and the treatment protocol of the intentional replantation.

Intentional replantation of teeth with chronic apical periodontitis with difficult-to-remove fixed prostheses

Intentional replantation of teeth with chronic apical periodontitis with difficult-to-remove fixed prostheses

Retrospective study of intentional tooth replantation

This retrospective study investigated the effects of preoperative radiographic characteristics and the causes of intentional replantation on treatment outcome. The records of fifty patients who had undergone intentional replantation at the dental clinic of Chonnam National University from 2009 to 2016 were examined. Age, sex, tooth location, diagnosis, and preoperative radiographs were analyzed using PACS (Picture Archiving Communication System) and IBM SPSS Statistics 23.0. Eighteen (36%) subjects were female and 32 (64%) were male. The mean age at the time of surgery was 39.1 years (±16.4), and the mean periodic follow-up period was 18.8 months (±15.6). Pulp and periapical diseases were the most common cause of disease (31 cases). The preoperative radiologic characteristics were 9 cases (18%) without lesion, 2 cases (4%) with apical periodontal ligament (PDL) space widening, 29 cases (58%) with periapical rarefaction, 10 cases (20%) with periradicular rarefaction and 28 cases (56%) of condensing osteitis. The survival rate of the intentionally replanted teeth was 78% and the failure rate was 22%. The expected survival time of the teeth was 44.1 months. Data were evaluated according to frequency distribution and the chi-squared test. Fisher’s exact test was used to investigate statistical significances (p < 0.05) between healed tooth versus extracted tooth after intentional replantation. There was no statistically significant difference between the success rate and failure rate of intentional replantation based on age, gender, teeth, diagnosis, filling material, fixation method, preoperative proximal radiolucency or lesion size.

Clinical Outcomes after Intentional Replantation of Periodontally Involved Teeth

IntroductionPeriodontal involvement has been thought to be a contraindication for intentional replantation. This retrospective study aimed to assess clinical outcomes after intentional replantation of teeth with periodontal involvement and to explore potential predictors of outcomes. MethodsTeeth with a history of intentional replantation between March 2000 and December 2014 and with 1 or 2 preoperative periodontal pockets ≥6 mm among 6 sites evaluated per tooth were included. A total of 103 teeth were included, and 74 teeth were followed up for more than 6 months. Outcomes were assessed as improved (a decrease in the number and depths of periodontal pockets and the size of periapical radiolucency and no external root resorption or sign/symptoms) or failed. Data were analyzed with Kaplan-Meier survival analysis and a Cox proportional regression model. ResultsCumulative improved rates declined from 89% at 1 year to 68% at 4 years. A Cox proportional regression model identified the patient's age (P = .049; hazard ratio, 2.552) and the number of preoperative periodontal pockets with a depth ≥6 mm (P = .041; hazard ratio, 2.523) as predictors of outcomes in the replantation of periodontally involved teeth. ConclusionsPeriodontal involvement is not an absolute contraindication to intentional replantation. The teeth with 1 preoperative periodontal pocket ≥6 mm and the subjects aged ≤40 years had 2.5 times and 2.6 times lower probability of failure, respectively, than the teeth with 2 pockets and the subjects aged >40 years. Therefore, these factors need to be carefully considered for intentional replantation.

Survival Rate of Teeth with a C-shaped Canal after Intentional Replantation: A Study of 41 Cases for up to 11 Years

IntroductionTeeth with a C-shaped canal have been regarded as a challenge for nonsurgical root canal treatment (RCT) and apical microsurgery because of their anatomic variations and low accessibility. For such teeth, intentional replantation might be a treatment option. The purpose of this study was to investigate the prognostic factors for the clinical outcome of intentionally replanted teeth with a C-shaped canal. MethodsWe retrospectively investigated patients who had undergone intentional tooth replantation at the Department of Conservative Dentistry, Yonsei University Dental Hospital, Seoul, Korea, from June 2002 to November 2015. Consequently, 41 intentionally replanted teeth with C-shaped canals were identified. The cumulative survival rate and related prognostic factors were assessed based on clinical and radiographic examination using survival analysis. ResultsThe cumulative survival rate of intentionally replanted teeth with a C-shaped canal was 83.4% at 4 years and 73.0% at 11 years postoperatively. Based on Cox proportional hazard regression analysis, extraoral time (≤15 minutes vs >15 minutes) and retrofilling material (ProRoot MTA [Dentsply, Tulsa, OK] vs others) were significantly associated with tooth survival (P < .05). ConclusionsExtraoral time exceeding 15 minutes and the use of ProRoot MTA as a retrofilling material were significantly associated with a lower survival of intentionally replanted teeth with C-shaped canals. With improved clinical procedures based on an understanding of the prognostic factors, intentional replantation would be a favorable treatment option for treating teeth with a C-shaped canal.

Multidisciplinary treatment approach for horizontal root fractures

The aim of this case report is to present a multidisciplinary treatment plan for horizontal root fracture of maxillary anterior teeth that resulted from trauma. A 16-year-old male presented a horizontal root fracture in the middle-third of teeth 11 and 21. Dislocated tooth fragments were repositioned using a composite splint technique. Follow-up examinations revealed the teeth lost vitality after trauma. Separated tooth fragments were removed by a surgical operation and then reattached using fiber post and resin cement. Teeth were replanted into the alveolar socket and splinted after root canal treatment. After 1 year of follow-up examinations, this comprehensive treatment was observed to be successful both clinically and radiographically. Horizontal root fractures can be treated successfully by extraoral reattaching of fractured segments and intentional replantation of teeth after root canal treatment.

The usefulness of an autologous blood clot combined with gelatin for regeneration of periodontal tissue

Several growth factors have been used in tissue regeneration therapy. Here we describe the use of an autologous blood clot combined with gelatin for teeth affected by severe periodontitis and vertical root fracture treated using three oral surgical procedures: periodontal flap surgery, intentional tooth replantation (IR), and tooth autotransplantation. Treatment with a blood clot improved the condition of the periodontal tissue, including reduction of pocket depth. Radiographical images demonstrated no evidence of ankylosis, and revealed the presence of alveolar bone regeneration. Our successful clinical outcome suggests that use of an autologous blood clot combined with gelatin is clinically effective for regeneration of lost periodontal tissue.

Intentional tooth replantation for the treatment of endodontic disease

Intentional tooth replantation for the treatment of endodontic disease

A Case Series and Literature Review of Intentional Replantation of Teeth

A Case Series and Literature Review of Intentional Replantation of Teeth

The usefulness of three-dimensional imaging for prognostication in cases of intentional tooth replantation

This paper describes the utility of three-dimensional (3D) images obtained with cone beam computed tomography (CBCT) for prediction of successful clinical outcome in two cases of intentional tooth replantation (IR). IR was performed for teeth affected by vertical root fracture and root perforation with local application of blood clot and oxy-tetracycline antibiotic. High-resolution 3D images demonstrated no evidence of ankylosis, but did reveal the presence of alveolar bone regeneration, suggesting a good long-term prognosis. Our observations in these cases suggested that local application of the above two materials might help to induce the regeneration of lost periodontal tissues in IR.

Diagnosis and Treatment of Endodontically Treated Teeth with Vertical Root Fracture: Three Case Reports with Two-year Follow-up

Introduction Vertical root fracture (VRF) is an important threat to the tooth’s prognosis during and after root canal treatment. Often the detection of these fractures occurs years later by using conventional periapical radiographs. However, recent studies have addressed the benefits of computed tomography to diagnose these problems earlier. Accurately diagnosed VRFs have been treated by extraction of teeth, with minimal damage to the periodontal ligament, extraoral bonding of fractured segments with an adhesive resin cement, and intentional replantation of teeth after reconstruction. Methods The 3 case reports presented here describe the diagnosis and treatment of vertically fractured teeth that had been previously treated endodontically. Cone-beam computed tomography (CBCT) was used for diagnostic imaging to detect VRFs. Vertically fractured roots were carefully extracted and extraorally treated by using a self-etching dual-cure adhesive resin cement, and intentional replantations were performed after reconstruction. Results After a mean follow-up period of 2 years, the teeth were asymptomatic. There was no clinical ankylosis, and diagnosis by using CBCT scans showed reduced periapical radiolucency. Conclusions Extraoral bonding of fractured segments and intentional replantation of teeth after reconstruction provide an alternative treatment to extraction, especially for anterior teeth. Computed tomography–assisted VRF diagnosis is helpful in detecting fractures; however, higher-resolution tomography units providing better image quality would be a better choice for improved visualization of these fractures.

Intentional Tooth Replantation: A Report of Three Cases : Usefulness of 3DX&#174; Multi-Image micro Computed Tomography (3DX) in treatment

Intentional Tooth Replantation: A Report of Three Cases : Usefulness of 3DX&#174; Multi-Image micro Computed Tomography (3DX) in treatment

Treatment of Refractory Apical Periodontitis with Intentional Tooth Replantation : A Clinical Follow-up Study

Treatment of Refractory Apical Periodontitis with Intentional Tooth Replantation : A Clinical Follow-up Study

Surgical Endodontics for Traumatized Young Permanent Teeth

A clinical follow-up study on traumatized young permanent teeth which treated by surgical endodontics was made. These teeth had progressive root resorption, ankylosis, or endodontic-periodontic lesions. The cases included 3 teeth from 3 patients aged 8 to 10 years at their initial visits. The treatments were curettage and resin filling of resorption cavities before intentional tooth replantation or surgical extrusion. Successful treatment relies on the complete removal of granulation tissue or the protection of resorption cavities by resin filling, and the proper splinting.

Effects of Enamel Matrix Derivative on Intentional Replantation of Teeth in Young Dogs

Effects of Enamel Matrix Derivative on Intentional Replantation of Teeth in Young Dogs