Restorative Dentistry & Endodontics

Case Report

Surgical management with intentional replantation on a tooth with palato-radicular groove: Jorge Forero-López, Luis Gamboa-Martínez, Laura Pico-Porras, Javier Laureano Niño-Barrera; Restor Dent Endod 2015;40(2):166-171. Published online December 22, 2014; DOI: https://doi.org/10.5395/rde.2015.40.2.166

A palato-radicular groove (PRG) is a developmental anomaly primarily found in the maxillary lateral incisors. It is a potential communication path between the root canal and the periodontium that decreases the survival prognosis of the affected tooth, therefore compromising the stability of the dental structure in the oral cavity. The aim of this case report is to present an original technique where a PRG was treated by means of intracanal disinfection, PRG sealing with glass ionomer, replantation with intentional horizontal 180 degree rotation of the tooth, and an aesthetic veneer placed to provide adequate tooth morphology. The clinical and biological benefits of this novel technique are presented and discussed.

Citations

Citations to this article as recorded by

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Gayathri Priyadharshini Elangovan, Indra Kumar Periyasamy, Saravana Kumar R, Gopinath Vivekanandhan
Dental Journal of Indira Gandhi Institute of Medical Sciences.2024; 3: 104. CrossRef
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Palatal groove associated with periodontal lesions: a systematic review illustrated by a decisional tree for management
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BMC Oral Health.2024;[Epub] CrossRef
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Ali Ibrahim Aljuailan, Roqayah Aljuailan, Rahul N. Gaikwad, Shaul Hameed Kolarkodi, Nasser Rufaydan Alamri
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Saudi Endodontic Journal.2023; 13(2): 211. CrossRef
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Cureus.2023;[Epub] CrossRef
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Intentional Replantation of Single-Rooted and Multi-Rooted Teeth: A Systematic Review
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Management of the palato-radicular groove with a periodontal regenerative procedure and prosthodontic treatment: A case report
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Basic Researchs

Clinical evaluation of a new extraction method for intentional replantation: Yong-Hoon Choi, Ji-Hyun Bae; J Korean Acad Conserv Dent 2011;36(3):211-218. Published online May 31, 2011; DOI: https://doi.org/10.5395/JKACD.2011.36.3.211

Abstract PDF PubReader ePub

Purpose

Intentional replantation (IR) is a suitable treatment option when nonsurgical retreatment and periradicular surgery are unfeasible. For successful IR, fracture-free safe extraction is crucial step. Recently, a new extraction method of atraumatic safe extraction (ASE) for IR has been introduced.

Patients and Methods

Ninety-six patients with the following conditions who underwent IR at the Department of Conservative Dentistry, Seoul National University Bundang Hospital, in 2010 were enrolled in this study: failed nonsurgical retreatment and periradicular surgery not recommended because of anatomical limitations or when rejected by the patient. Preoperative orthodontic extrusive force was applied for 2-3 weeks to increase mobility and periodontal ligament volume. A Physics Forceps was used for extraction and the success rate of ASE was assessed.

Results

Ninety-six premolars and molars were treated by IR. The complete success rate (no crown and root fracture) was 93% (n = 89); the limited success rates because of partial root tip fracture and partial osteotomy were 2% (n = 2) and 5% (n = 5), respectively. The clinical and overall success rates of ASE were 95% and 100%, respectively; no failure was observed.

Conclusions

ASE can be regarded as a reproducible, predictable method of extraction for IR.

Citations

Citations to this article as recorded by

Bone Loss and Soft Tissue Loss Following Orthodontic Extraction Using Conventional Forceps versus Physics Forceps: A Prospective Split Mouth Study
D. Alden Schnyder Jason, S. Gidean Arularasan, Murugesan Krishnan, M. P. Santhosh Kumar, Saravanan Lakshmanan
Journal of Maxillofacial and Oral Surgery.2025; 24(1): 301. CrossRef
Minimally Invasive Extraction System Benex—Clinical Evaluation and Comparison
Lyubomir Chenchev, Vasilena Ivanova, Krikor Giragosyan, Tasho Gavrailov, Ivan Chenchev
Dentistry Journal.2024; 12(8): 234. CrossRef
Minimally invasive extractions with physics forceps – clinical evaluation and comparison
Lyubomir I. Chenchev, Vasilena V. Ivanova, Ivan L. Chenchev, Hristo I. Daskalov
Folia Medica.2024; 66(2): 235. CrossRef
Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review
Martina Cordaro, Edoardo Staderini, Ferruccio Torsello, Nicola Maria Grande, Matteo Turchi, Massimo Cordaro
International Journal of Environmental Research and Public Health.2021; 18(18): 9530. CrossRef
Comparison of the efficiency of arm force versus arm force plus wrist movement in closed method extractions an observational study
Prashanth Sundaram, Saravanan Kandasamy, Reena Rachel John, K. C. Keerthana Sri
National Journal of Maxillofacial Surgery.2021; 12(2): 250. CrossRef
Surgical extrusion of a maxillary premolar after orthodontic extrusion: a retrospective study
Yong-Hoon Choi, Hyo-Jung Lee
Journal of the Korean Association of Oral and Maxillofacial Surgeons.2019; 45(5): 254. CrossRef
A Cone-beam Computed Tomographic Study of Apical Surgery–related Morphological Characteristics of the Distolingual Root in 3-rooted Mandibular First Molars in a Chinese Population
Xiao Zhang, Ning Xu, Hanguo Wang, Qing Yu
Journal of Endodontics.2017; 43(12): 2020. CrossRef
Influence of Apical Root Resection on the Biomechanical Response of a Single-rooted Tooth—Part 2: Apical Root Resection Combined with Periodontal Bone Loss
Youngjune Jang, Hyoung-Taek Hong, Heoung-Jae Chun, Byoung-Duck Roh
Journal of Endodontics.2015; 41(3): 412. CrossRef
Comparison Between Physics and Conventional Forceps in Simple Dental Extraction
Mohamed H. El-Kenawy, Wael Mohamed Said Ahmed
Journal of Maxillofacial and Oral Surgery.2015; 14(4): 949. CrossRef
Clinical outcome of intentional replantation with preoperative orthodontic extrusion: a retrospective study
Y. H. Choi, J. H. Bae, Y. K. Kim, H. Y. Kim, S. K. Kim, B. H. Cho
International Endodontic Journal.2014; 47(12): 1168. CrossRef
Sealing Ability of Three Different Materials Used as Retrograde Filling
Ji-Hoon Park, Seung-Bok Kang, Yong-Hoon Choi, Ji-Hyun Bae
Journal of Korean Dental Science.2012; 5(2): 60. CrossRef
Cone-Beam Computed Tomography Study of Incidence of Distolingual Root and Distance from Distolingual Canal to Buccal Cortical Bone of Mandibular First Molars in a Korean Population
Sin-Young Kim, Sung-Eun Yang
Journal of Endodontics.2012; 38(3): 301. CrossRef

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A retrospective study of the intentionally replanted mandibular second molars with C-shaped root canal configurations: Won-Jun Shon, Kee-Yeon Kum, Seung-Ho Baek, Woo-Cheol Lee; J Korean Acad Conserv Dent 2011;36(1):19-25. Published online January 31, 2011; DOI: https://doi.org/10.5395/JKACD.2011.36.1.19

Abstract PDF PubReader ePub: Objectives
The purpose of this retrospective study was to evaluate the success rate of intentionally replanted mandibular second molar with C-shaped canal configurations and to access the impact of preoperative periapical lesion on the success of intentional replantation procedure.
Materials and Methods
This retrospective chart review study evaluated 52 intentionally replanted mandibular second molar teeth treated at Seoul National University Dental Hospital Department of Conservative Dentistry from January 2005 to December 2007. Seventeen teeth were lost for the follow-up, and another 6 teeth did not meet inclusion criteria of C-shaped root canal configurations. Healing outcome such as success, uncertain healing, and failure after follow-up was evaluated by clinical criteria and radiographs.
Results
The overall success rate was 72.4% for the 29 intentionally replanted C-shaped mandibular second molars. The success rate of replanted teeth with preoperative periapical lesions was similar to that of replanted teeth which have no periapical lesions.
Conclusions
Therefore, root canal treatment failure on C-shaped mandibular second molar can be predictably treated by intentional replantation regardless of the presence of periapical lesion.

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Clinical Research

Short-term clinical outcome of intentionally replanted posterior molars: Yong-Hoon Choi; J Korean Acad Conserv Dent 2011;36(1):12-18. Published online January 31, 2011; DOI: https://doi.org/10.5395/JKACD.2011.36.1.12

Abstract PDF PubReader ePub

Objectives

This retrospective study evaluated the therapeutic effects of the intentional replantation (IR) procedure performed on the maxillary and mandibular molars of 35 patients.

Materials and Methods

For the subjects, IR was performed due to difficulties in anatomically accessing the lesions and/or close proximity to the thick cortical bone, inferior alveolar nerve, or maxillary sinus, which rendered the ordinary periradicular surgery impossible. The patients' progress was followed for a year and up to 2 years and 4 months. The success of the procedure was evaluated in terms of clinical and radiographic success (%).

Results

The results revealed the following: (a) 1 case (3%) of failed tooth extraction during IR; (b) 2 cases (6%) of extraction due to periodontal diseases and inflammatory root resorption; (c) 3 cases (9%) of normally functioning teeth in the oral cavity with minor mobility and apical root resorption, and; (d) 29 cases (82%) of normally functioning teeth without obvious problems.

Conclusions

IR was confirmed to be a reliably repeatable, predictable treatment option for those who cannot receive conventional periradicular surgery because of anatomic limitations or patient factors.

Citations

Citations to this article as recorded by

Retrospective study of intentional tooth replantation
Joo-Hyuck Park, Sel Ae Hwang, Suk-Ja Yoon, Byung-Cheol Kang, Kyung-Min Lee, Jae-Seo Lee
Oral Biology Research.2017; 41(4): 201. CrossRef
Intentional Replantation of a Root-Fractured Tooth with Pulp Canal Obliteration
Mihee Kim, Sangho Lee, Nanyoung Lee
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2016; 43(2): 200. CrossRef

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