Intentional Replantation: No Longer a Last Resort for Saving a Natural Tooth.

Compend Contin Educ Dent

Clinical Associate Professor of Endodontics, Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Private Practice in Endodontics, Newtown, Pennsylvania; Diplomate, American Board of Endodontics.

Published: March 2024

AI Article Synopsis

  • - Intentional replantation (IR) involves removing a tooth and then putting it back into its socket to perform necessary repairs like root-end surgery, especially useful when regular surgical access is limited.
  • - Recent advancements in technology, like magnification and bioceramics, have made IR a reliable and scientifically backed option compared to traditional microsurgery.
  • - The article covers the reasons for choosing IR, outlines the treatment process, and shares results on its effectiveness and cost benefits compared to single-implant procedures.

Article Abstract

Intentional replantation (IR) is the intentional extraction of a tooth followed by its replacement back into its socket for the purpose of performing a root-end surgery or other necessary repairs. The procedure may be considered a favorable alternative to conventional microsurgery, especially when surgical access is restricted due to specific anatomical challenges. With advancements in magnification, bioceramics, and instrumentation, IR has become a well-established, scientifically supported treatment modality and is cost-effective when compared to single-implant placement. This article discusses the rationale and indications for IR, describes treatment protocols, and reports on its outcomes.

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