Re-inventing intentional replantation: a modification of the technique.
Intentional Replantation (IR) has traditionally been considered a treatment of last resort due to complications during extraction, handling, and replantation. Root resorption and failure often resulted from drying of the root surface during extraoral manipulations. Replantation techniques have been recently modified to prevent desiccation. This article presents a modified IR technique with continuous immersion of the tooth in a tissue culture solution. This allows extension of the extraoral time period to permit inspection of the root surfaces, precise root-end resections and preparations, and placement of root-end fillings.
Niemczyk
S P
SP
Endodontic Microsurgery, Harvard School of Dental Medicine, Boston, Massachusetts, USA. SPNdo@bellatlantic.net
D000328:Adult; D001047:Apicoectomy; D000075202:Contraindications; D003470:Culture Media; D003890:Desiccation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007101:Immersion; D008853:Microscopy; D010483:Periapical Diseases / Q000628:therapy; D012184:Retrograde Obturation; D018915:Root Canal Preparation; D012391:Root Resorption / Q000517:prevention & control; D014081:Tooth Extraction / Q000379:methods; D014090:Tooth Replantation / Q000295:instrumentation / Q000379:methods*; D014092:Tooth Root / Q000503:physiopathology; D017211:Treatment Failure
D003470:Culture Media