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Case Reports
. 2018 Jul-Aug;22(4):353-359.
doi: 10.4103/jisp.jisp_170_18.

Reliability of two different protocols used for intentional re-implantation of periodontally hopeless teeth

Snehal Prabhakar Deotale  1 , Akhilesh Hemchandra Shewale  2 , Deepti Rakesh Gattani  2 , Aatif Iqbal Nathani  3 , Ankur Mahesh Banode  3
Affiliations
Case Reports

Reliability of two different protocols used for intentional re-implantation of periodontally hopeless teeth

Snehal Prabhakar Deotale et al. J Indian Soc Periodontol. 2018 Jul-Aug.

Abstract

Intentional re-implantation is the careful removal and re-insertion of an endodontically treated tooth performed with an attempt to preserve the natural dentition and patients' esthetic concerns. Its limited success rate and a possibility to obtain undesirable outcomes such as root resorption and ankylosis of the tooth restrict its clinical use to be attempted only as a last option after routine procedures. A vast array of procedures have been performed till date with inconsistent results due to lack of analogous protocols followed. Regardless of having a controversial background behind its success in periodontally compromised teeth, this procedure raises a hope to avoid unwarranted natural tooth loss. Performing each step with precision governs the success of the treatment. This case report demonstrates two different techniques with an interdisciplinary approach assessed over 1 year each.

Keywords: Ankylosis; intentional re-implantation; interdisciplinary approach; periodontally compromised teeth; root resorption; tooth loss.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative clinical assessment with 32 (Case 1)
Figure 2
Figure 2
Radiographic assessment after endodontic therapy with 32 (Case 1)
Figure 3
Figure 3
Flap reflection (Case 1)
Figure 4
Figure 4
Apicectomy followed by root end filling with MTA of extracted 32 (Case 1)
Figure 5
Figure 5
Debridement of socket (Case 1)
Figure 6
Figure 6
Corticotomy in the socket of 32 (Case 1)
Figure 7
Figure 7
Re-implantation of 32 followed by splinting and demineralized freeze-dried bone allograft graft placement (Case 1)
Figure 8
Figure 8
Flap approximation with interrupted sutures (Case 1)
Figure 9
Figure 9
Radiographic assessment of 32 at 6 months (Case 1)
Figure 10
Figure 10
Radiographic assessment of 32 at 9 months (Case 1)
Figure 11
Figure 11
Clinical assessment at 1-year follow-up visit (Case 1)
Figure 12
Figure 12
Radiographic assessment at 1 year (Case 1)
Figure 13
Figure 13
Preoperative clinical assessment with 11 (Case 2)
Figure 14
Figure 14
Extracted tooth (Case 2)
Figure 15
Figure 15
Extraoral root canal therapy done with 11 (Case 2)
Figure 16
Figure 16
Debridement of socket (Case 2)
Figure 17
Figure 17
Re-implantation of 11 followed by splinting, presuture, and demineralized freeze-dried bone allograft bone graft placement (Case 2)
Figure 18
Figure 18
Amnion barrier membrane placed (Case 2)
Figure 19
Figure 19
Radiographic assessment with 11 at 3 months (Case 2)
Figure 20
Figure 20
Radiographic assessment with 11 at 6 months (Case 2)
Figure 21
Figure 21
Radiographic assessment with 11 at 9 months (Case 2)
Figure 22
Figure 22
Clinical assessment with 11 at 1 year (Case 2)
Figure 23
Figure 23
Radiographic assessment with 11 at 1 year (Case 2)
Figure 24
Figure 24
Frontal profile at 1-year follow-up visit (Case 2)
See this image and copyright information in PMC

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