Intentional replantation for iatrogenic perforation of the furcation: a case report.
Intentional replantation is an accepted endodontic procedure for treatment of teeth in which conventional surgical endodontic treatment is contraindicated. This article presents a rare case of intentional replantation of a mandibular molar that had severe periodontal destruction resulting from iatrogenic perforation of the furcation. A 17-month follow-up evaluation revealed an asymptomatic and functional tooth with no radiographic signs of pathosis. The favorable results obtained might be attributed to the preservation of the vitality of the periodontal ligament; the absence of damaging pressure during extraction; the minimal extraoral treatment time; the use of nonrigid splinting; and the immediate repair of the perforation during a one-visit endodontic procedure. The results obtained with this tooth may indicate the possibility of a successful surgical technique for this otherwise hopeless complication of endodontic therapy.
Tang
P M
PM
Department of General Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Chan
C P
CP
Huang
S K
SK
Huang
C C
CC
D000328:Adult; D016301:Alveolar Bone Loss / Q000209:etiology; D003786:Dental Pulp Cavity / Q000000981:diagnostic imaging / Q000293:injuries; D005500:Follow-Up Studies; D017823:Furcation Defects / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008334:Mandible; D008963:Molar; D011859:Radiography; D012390:Root Canal Therapy / Q000009:adverse effects*; D014090:Tooth Replantation / Q000379:methods*; D014092:Tooth Root / Q000293:injuries