Intentional Replantation Research Articles

Clinical research on treatment of vertically fractured posterior teeth by intentional replantation using dentin bonding and composite resin

Clinical research on treatment of vertically fractured posterior teeth by intentional replantation using dentin bonding and composite resin

Prognosis of Intentional Replantation of Vertically Fractured Roots Reconstructed with Dentin-Bonded Resin

There is no particular treatment established to preserve vertically fractured teeth. We evaluated the long-term prognosis of the intentional replantation of 26 vertically fractured roots after reconstruction with 4-META/MMA-TBB dentin-bonded resin. Replanted teeth were evaluated according to clinical criteria and radiographic examinations for periods ranging from 4 to 76 months. Eighteen cases were functional and retained, with six fully successful; the others needed further observation. Eight cases failed to respond to treatment because of refracture, recurrence of gingival inflammation, or both. Longevity was calculated as 88.5% at 12 months after replantation, 69.2% at 36 months, and 59.3% at 60 months. All failures occurred in premolar and molar teeth. Longitudinal fractures extending more than 2/3 from the cervical portion toward the apex showed significantly shorter longevity compared with fractures within the 2/3 area (log-rank test, p = 0.02). Intentional replantation of vertically fractured roots reconstructed with dentin-bonded resin may be considered for incisors as an alternative to extraction, although the long-term success is not optimal.

Case Report: Intentional Replantation of Impacted Geminated Teeth on the Maxillary Lateral Incisor

Case Report: Intentional Replantation of Impacted Geminated Teeth on the Maxillary Lateral Incisor

Intentional replantation with 180o rotation of a crown-root fracture: a case report

Intentional replantation with 180o rotation of a crown-root fracture: a case report

An Easy Solution to Endodontic Problems?

Treatment of Combined Endodontic Periodontic Lesions by Intentional Replantation and Application of Hydroxyapatites. L. Yu, B. Xu and B. Wu. Dental Traumatology 2003; 19: 60–63.

Short-Term Evaluation of Intentional Replantation of Vertically Fractured Roots Reconstructed with Dentin-Bonded Resin

The purpose of this study was to evaluate intentional replantation of vertically fractured roots reconstructed with dentin-bonded resin. Twenty vertically fractured teeth were extracted intentionally and reconstructed with 4-META/MMA-TBB dentin-bonded resin. After reconstruction, the teeth were replanted into the original sockets. The replanted teeth were evaluated by clinical criteria and radiographic examination. The observation periods ranged between 4 and 45 months. Longevity was calculated by the Kaplan-Meier method, and factors that had significant influence on the longevity were analyzed with the Log rank test at a 95% level of confidence. From this short-term observation, 14 of 20 cases were functioned in the oral environment. Of these 14 cases, 6 could be considered truly successful and 8 cases needed further observation. The other six cases were total failures and were extracted. The longevity was calculated as 83.3% at 12 months and 36.3% at 24 months. Teeth with thin roots or with longitudinal fractures extending over 2/3 of the root from the cervical portion toward the apex showed significantly lower longevity. It was concluded that this method had the potential to preserve vertically fractured teeth.

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

Treatment of replacement resorption with Emdogain--preliminary results after 10 months.

Ankylosis of traumatized teeth in children and adolescents may inhibit further development and growth of the corresponding jawbone. Therefore, ankylosed teeth should be removed. As an alternative treatment option to autotransplantation of a premolar, intentional replantation using Emdogain may be considered, provided the ankylosis is detected at an early stage or has only affected a small area of the root. Eleven ankylosed teeth presenting with replacement resorption were treated as follows: after tooth extraction, the root canal was treated extraorally and obturated by retrograde insertion of a titanium post. Emdogain was applied to the root surface and into the extraction socket with subsequent replantation of the tooth. During a mean follow-up period of 6.3 months, no signs of recurrence of ankylosis were noted. The horizontally and vertically measured Periotest scores were identical to those obtained on the adjacent teeth. These results suggest that intentional replantation using Emdogain may prevent or delay ankylosis of these replanted teeth.

Periodontal healing after intentional auto‐alloplastic reimplantation of injured immature upper front teeth

Conventional endodontic treatment results in high complication quota when performed in immature teeth. Intentional reimplantation with extraoral insertion of an endodontic implant (auto-alloplastic reimplantation) is an alternative. In a retrospective study, the healing of 40 teeth reimplanted intentionally according to this method in patients aged 7 to 15 years was evaluated. Clinical tests (palpation, percussion sound, periotest values) and radiographical examinations were used to determine the type of periodontal healing (inflammatory resorption/periodontitis apicalis; replacement resorption/ankylosis; normal healing). Mean lifetime of the replanted teeth was 59.2+/-42.5 months, estimated survival time on the basis of the Kaplan-Meier analysis was 99.5 months. 17 teeth (42.5%) were classified as failures, mostly due to inflammatory resorption or periodontitis apicalis. Further investigations demonstrated that success rate and retention period of intentionally replanted teeth depend on the preoperative condition of the pulp. Teeth with preoperative infection suffered frequently from inflammatory resorption or periodontitis apicalis after being replanted (14 of 28 teeth). Estimated survival time according to Kaplan-Meier was 75.5 months. In contrast, inflammations or progressive resorptions were not observed in teeth without preoperative infection of the pulp. All these 12 teeth showed normal periodontal healing and regular tooth mobility. In the absence of any pathology in clinical or radiological findings after an average functional period of 72.3 months, the prognosis can be presumed excellent. Estimated survival time of 148.3 months according to Kaplan-Meier differs significantly from survival time of teeth infected preoperatively. From the results of this investigation, it may be concluded that an infection of the pulp - due to delay of treatment or attempts at endodontic therapy - should be avoided before intentional replantation of immature front teeth with pulp necrosis. Periodontal healing of the autologous root is not impaired by the insertion of posts made of Al2O3-ceramics or titanium. The inserted posts do not ankylose. Orthodontic movement of auto-alloplastically replanted teeth is possible.

Results of intentional replantation of molars

Purpose: This study evaluated the treatment outcome of intentional replantation of molars. Patients and Methods: Twenty-nine patients were treated with intentional replantation because conventional apicoectomy was not possible. The success rate was judged by clinical and radiographic parameters. Results: One molar (3%) had to be removed because of pain and mobility 4 weeks postsurgery, and three molars (11%) had to be removed during the first year because of periodontal problems. Four molars (14%) showed periodontal problems or root resorption, but are still in function and causing no obvious problems to the patients. Twenty-one molars (72%) were successfully treated. Conclusion: Intentional replantation is a reliable and predictable treatment for those cases in which conventional apicoectomy is hampered because of anatomic limitations or patient factors.

Successful Intentional Replantation After Conventional Endodontic Failure

Australian Endodontic NewsletterVolume 23, Issue 3 p. 18-22 Successful Intentional Replantation After Conventional Endodontic Failure Dr Greg Jones, Dr Greg Jones P.O. Box 861, Canning Bridge, W.A. 6153Search for more papers by this author Dr Greg Jones, Dr Greg Jones P.O. Box 861, Canning Bridge, W.A. 6153Search for more papers by this author First published: 11 February 2010 https://doi.org/10.1111/j.1747-4477.1997.tb00578.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume23, Issue3December 1997Pages 18-22 RelatedInformation

ラット切歯再植時における歯根膜組織の修復過程に関する病理学的研究

ラット切歯再植時における歯根膜組織の修復過程に関する病理学的研究

Intentional Replantation of an Immature Permanent Tooth with a Posttraumatic Radicular Cyst:

Intentional Replantation of an Immature Permanent Tooth with a Posttraumatic Radicular Cyst:

INTENTIONAL REPLANTATION: A Viable Alternative for Selected Cases

INTENTIONAL REPLANTATION: A Viable Alternative for Selected Cases

Intentional Replantation of a Tooth with a Large Cystic Lesion

Intentional Replantation of a Tooth with a Large Cystic Lesion

Intentional replantation of endodontically treated teeth

This article reports 31 cases of intentional replantation with an over all success rate of 80.6% with six recorded failures. Survival times varied from 1 day to 22 years. A second mandibular molar that failed after 3 weeks was replanted successfully a second time with no signs of failure after a 46-month follow-up period. Two cases of intentional replantation of deciduous molars are also reported. We suggest that intentional replantation reduces adverse outcomes and should be considered as another treatment modality and not as a procedure of last resort. This procedure is recommended as the treatment of choice in the following instances: for lower second molars, for single-rooted teeth, and lower first molars when there is difficulty in accessibility to perform apical surgery; when the mental foramen is superimposed over the apex of the premolars; when the molar apex is in proximity to the mandibular canal; when patients object to periradicular surgery; when failures occur after apical surgery, or when surgery would create a periodontal pocket as a result of extensive bone removal. Periradicular surgery with a retroseal is more advantageous for first molars when roots are more curved, widespread, and are more prone to fracture compared with second molars whose roots are more tapered and close together.

Clinical report of intentional replantation.

Clinical report of intentional replantation.

Intentional replantation and transplantation: I.B. Bender, DDS

Intentional replantation and transplantation: I.B. Bender, DDS

Intentional replantation: A successful alternative for hopeless teeth

An interesting case of intentional reimplantation, in which the distal root of a mandibular molar was reimplanted after hemisection, is reported for the first time. This root served as the distal abutment for a three-unit bridge. A 3-year follow-up revealed a successful outcome, with a clinically asymptomatic and functional tooth with no radiographic signs of resorption or ankylosis.

Experimental dental traumatology: development of a model for external root resorption.

Abstract Intentional replantation of teeth appears to be a suitable model for examining the etiology and pathogenesis of root resorption elicited after traumatic dental injury. A histomorphometric analysis of root resorption developed with this model is described. An analysis of the accuracy and precision of the method in replanted monkey incisors has demonstrated that the method is usually reliable in revealing the extent and type of root resorption. In some experimental circumstances, however, where the pulp status was not controlled by endodontic therapy, a large intra‐ and interanimal variation was found in the extent of root resorption. Apart from a relation to tooth maturation and tooth type (incisors versus molars), this variation was primarily caused by haphazard occurrence and extent of inflammatory resorption. Based on an analysis of a series of experimental replantation studies, the following guidelines for experimental design seem appropriate: 1) selection of teeth according to identical tooth development and pulp status (i.e. intact, extirpated or root‐canal‐treated); 2) use of a standardized extraction procedure; 3) consideration of the type of teeth included (i.e. molars vs. incisors), unless paired experiments are planned or the experimental design includes an equal number of incisors and molars allotted to the different experimental groups; 4) side differences (right vs. left side) are apparently of no or minor importance; 5) sex differences are apparently of no or minor importance; 6) an individual proneness to resorption is apparently of no or minor importance, which means that more than one tooth can be used in each animal. The experimental design thus does not dictate the use of paired (i.e. homologous) teeth. However, as a matter of safety, when small differences in healing are expected, paired observations should be used.