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Article Abstract

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. Diagnosis was chronic periodontitis and class III mobility was noted at the right maxillary central incisor with complete periodontal attachment loss. After phase I therapy periodontally involved tooth was extracted, endodontic treatment was accomplished, the tooth was replanted and stabilized with a composite wire splint. At the end of 3 years tooth was in function with alveolar bone gain. Intentional replantation provided long-term maintenance of patient's own teeth and can be considered as an alternative treatment option tooth with hopeless prognosis. Ankylosis, Chronic Periodontitis, Periodontal Attachment Loss, Root Resorption, Tooth Replantation, Tooth Extraction.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357507PMC
http://dx.doi.org/10.4317/jced.61873DOI Listing

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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.

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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.

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Prognosis of intentional replantation for periapical periodontitis teeth: a systematic review and meta-analysis.

BMC 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.

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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.

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