Alternative replantation for an iatrogenic perforation repair with an undesirable root fracture: A case report

Authors : Priyanka , Puja Kumari, Monalisha Jha, Gaurav Verma, Ranjan Sengupta

DOI : 10.18231/j.ijce.2022.017

Volume : 7

Issue : 2

Year : 2022

Page No : 80-84

Intentional replantation is done in cases of endodontic failures where conventional forms of treatment options either fail or become impossible. It involves the removal of the offended tooth, execution of extra oral apicoectomy followed by its reinsertion into the socket. The present case report discussed in this paper presentation demonstrates a scenario where a right maxillary second molar had an iatrogenic perforation in the middle third of distal root. The decision of intentional replantation was made for its repair but unfortunately, the tooth underwent fracture in the course of extraction. The procedure was still performed with a reduced distal root length. Fortunately, a favourable outcome was observed after 1 year of follow up. However, for recording the long term survival, the patient is kept on follow-up.
 

Keywords: Alternative to implant, Retro-seal, MTA, Intentional replantation, Root end resection, Extraction


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