98%
921
2 minutes
20
The technique of intentional replantation can provide a second chance to save teeth that would be destined for extraction. Therefore, the present systematic review aimed primarily to estimate tooth survival after intentional replantation and secondarily to compare treatment outcomes in single-rooted and multi-rooted teeth. The study protocol was developed before the analysis according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Articles were electronically searched in PubMed/MEDLINE, the COCHRANE library and Google Scholar by two independent reviewers, and those that met the eligibility criteria were included. A statistical analysis using the chi-square test with a p-value of <0.05 was performed on the reported outcomes of intentional replantation. A total of 44 single-rooted replanted teeth with five failures (11.36%) and 42 multi-rooted replanted teeth with six failures (14.28%) were reported in the literature, corresponding to a survival rate of 88.64% and 85.57%, respectively. The overall survival rate for the replantation procedure was 86.7%, indicating that intentional replantation can be considered a safe therapeutic choice, with no statistically significant difference between the survival rates of single-rooted and multi-rooted replanted teeth.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819326 | PMC |
http://dx.doi.org/10.3390/healthcare11010011 | DOI Listing |
J Clin Exp Dent
July 2025
Reader, Department of Periodontology, Kamineni Institute of Dental Sciences, Narketpally, Telangana.
Intentional replantation is a process that involves purposeful tooth extraction and subsequent reinsertion of the removed tooth. Intentional replantation may be a therapeutic option worth considering to preserve the natural teeth and prevent tooth extraction, even though the success rate is not always high. Systemically healthy male patient was referred to our department.
View Article and Find Full Text PDFIran Endod J
May 2025
Iranian Centre for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Strip perforation is a severe procedural complication during root canal therapy, often associated with poor prognosis, especially when combined with overextended gutta-percha. While surgical or nonsurgical retreatment is commonly indicated, patient-centered decision-making and long-term follow-up may influence the management strategy. This case report describes the conservative follow-up and eventual successful treatment of a mandibular second molar with an extensive midroot strip perforation and extruded gutta-percha, ultimately managed with intentional replantation and root-end filling using calcium-enriched mixture (CEM) cement.
View Article and Find Full Text PDFBMC Oral Health
July 2025
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.
Background: Intentional replantation (IR) includes extraction, subsequent treatment, and replantation of teeth. It is regarded as a final strategy to preserve teeth affected by periapical periodontitis. This review aims to evaluate the overall prognosis and key prognostic factors of IR for periapical periodontitis teeth.
View Article and Find Full Text PDFFront Oral Health
June 2025
Department of Endodontics, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Purpose: Herein, we report a rare case of chronic apical periodontitis associated with an extraradicular calculus-like deposit on the root apex of a mandibular left central incisor that was previously treated with root canal therapy.
Case Presentation: A 42-year-old man presented with persistent sinus tract formation. Despite non-surgical retreatment, the symptoms persisted, and radiographic evaluations, including cone-beam computed tomography, revealed a periapical radiolucency with radiopaque convexities in the apical third of the root.
Zhonghua Kou Qiang Yi Xue Za Zhi
May 2025
Department of Periodontics, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.