Previous posts have discussed the often overlooked surgical option of intentional replantation. The following case is an example of 3.5 yr success of intentional replantation of a Md second molar.
|#31 Prior RCT with Chronic Apical Abscess - with recurring sinus tract. Radiograph shows the overfill on all canals and large periapical/ furcal lesion.|
|CBCT shows the extent of the bone loss.|
|CBCT also shows the root anatomy and the buccal/lingual bone in tact.|
At this point, retreatment or surgery are the options to preserve the tooth. With a crown, not needing to be replaced, a long post and overfilled gutta percha - which can be difficult to retrieve, we considered a surgical approach. Since this is a second molar, the buccal bone is too thick to allow for conventional surgical approach (apicoectomy). After discussing risks of intentional replantation, pt elected to preserve tooth using intentional replantation.
Apico & retrofill completed chairside
Note the bone levels around the tooth. They are identical to the pre-op bone levels. Intentional replantation has preserved the natural tooth AND the periodontium.