Intentional replantation of endodontically treated teeth

By Bender IB and Rossman LE

Date: 11/1994
Journal: Oral Surg Oral Med Oral Patho

Summary: 

Purpose:  to report 31 cases of Intentional replantation

Materials/Methods:

• Conventional RCT was preformed to 31 maxillary  and mandibular teeth (18 upper and lower molars and 13 premolars and anterior )

•The patients were instructed to rinse his mouth with  chlorohexidine mouthwash 2 % before procedure to reduce the incidence of bacteremia after extraction 

•Antibiotics were  prescribed before and after the procedure 

•Criteria for successful case when there is reduction of periapical lesion after 6 months or  complete regeneration of lamina dura within 2-4 years •If the patient complains of discomfort , tenderness with percussion ,  deep periodontal pocket or sinus tract , the case was classified as failure 

Most highlighted Results:

-Out  of 31 replanted teeth , 6 cases were failed and over all success rate 80.6%

-18 upper and lower molars including 4 failures and the success rate was 77.8%

-§13 premolars and anterior including 2 failures and the success rate was 84.7

Clinical significance:

    • Intentional replantation should be considered as treatment option in endodontic surgery especially on the premolar and anterior teeth (higher success rate than posterior teeth )