Intentional Replantation

Summary

Intentional replantation is an accepted endodontic treatment procedure in which a tooth is extracted and treated outside the oral cavity and then inserted into its socket to correct an obvious clinical or radiographic endodontic failure. Key prognostic factors to increase the likelihood of success include limiting the extra-oral time as short as possible and minimal trauma to the periodontal ligament and cementum. A team of two dentists should ideally work in tandem to prevent prolonged treatment time. The use of elevators is contraindicated, and the beaks of the forceps should not go beyond the cement-enamel junction. The tooth should be kept moist at all times with the use of an appropriate medium during the extra-oral period. Conventional apicectomy techniques including root resection, retrograde preparation and retrograde filling should be carried out. The use of MTA or Super EBA should be routinely used to ensure good marginal adaptation and biocompatibility ensuring promotion of new cementum deposition to the retro-filled surface.