J Dent Rehabil Appl Sci.  2019 Jun;35(2):98-104. 10.14368/jdras.2019.35.2.98.

Treatment of a tooth with severe periodontal involvement using intentional replantation: case report

Affiliations
  • 1Dental Clinic Center, Pusan National University Hospital, Busan, Republic of Korea. betteryoung@hanmail.net
  • 2Department of Periodontology, School of Dentistry, Pusan National University, Yangsan, Republic of Korea.

Abstract

Although intentional replantation is frequently used as a treatment modality for endodontic problems, severe periodontal involvement has usually been regarded as a contraindication. However, there are some studies suggesting that intentional replantation could be a successful treatment alternative for periodontally involved teeth. This paper reports the treatment of a tooth with severe periodontal involvement using intentional replantation. The tooth, which had had root canal therapy due to endodontic-periodontal combined lesion but showed extensive bone loss, was gently extracted and replanted after thorough debridement of the root surface. By intentional replantation, a tooth with severe periodontal involvement in this case could be preserved, without extraction, over the course of a 3-year follow-up period.

Keyword

alveolar bone loss; periodontal attachment loss; periodontal diseases; root canal therapy; tooth replantation
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