The Endo Blog
The Endo Blog
The day to day clinical practice of endodontics at Superstition Springs Endodontics.
Jason J Hales

Five Year Recall on Intentional Replantation of Mx Molar

2/5/2018 9:21:12 AM   |   Comments: 0   |   Views: 121
Intentional replantation is the intentional removal (extraction), surgical treatment of the root (outside of the mouth) and replantation of a tooth back into the extraction socket. While not a common approach, this technique can be useful for teeth that cannot be treated with traditional endodontic surgery. This procedure can also be considered as a last resort before other costly replacement options.

The following case is unique because all three roots of #14 were treated surgically - outside of the mouth.   Traditional surgical access to the palatal root is difficult to impossible from the traditional buccal surgical approach.


                                                                                                                                       
                                    

                       
                                    

This patient came to SSE for RCT in 2010. It was a necrotic and RCT was completed.  The lesion failed to heal, so retreatment was completed in 2012.  Lesion still failed to heal, so intentional replantation was chosen as a last resort before extracting the tooth #14.

                       

                                                                                                                                       
                                    

                       
                                    

Tooth #14 was carefully extracted and all 3 canals were resected, retrofilled and reimplanted within minutes. 

                       

                                                                                                                                       
                                    

                       
                                    

5 Year recall shows great apical bone healing.  The tooth is functional, normal percussion, normal probing.  Intentional implantation should be considered as an opion in certain situations.

                       

 

                                                                                                                                       

                       
                                    

 

                       
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