Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report

ABSTRACT: In patients who need endodontic re-treatment, and where the prognosis for surgical or non-surgical re-treatment is poor or treatment may be risky, one alternative is to opt for extraction of the affected tooth and replacement by an implant. However treatment by intentional reimplantation (...

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Autores principales:	Alves,Nilton, Nascimento,Carlos Manuel de Oliveira, Moya,Edmar, Deana,Naira Figueiredo
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2020
Materias:	endodontic re-treatment intentional reimplantation root canal
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000300358
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spelling	oai:scielo:S0718-381X20200003003582020-05-27Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case ReportAlves,NiltonNascimento,Carlos Manuel de OliveiraMoya,EdmarDeana,Naira Figueiredo endodontic re-treatment intentional reimplantation root canal ABSTRACT: In patients who need endodontic re-treatment, and where the prognosis for surgical or non-surgical re-treatment is poor or treatment may be risky, one alternative is to opt for extraction of the affected tooth and replacement by an implant. However treatment by intentional reimplantation (IR) is also a possibility. The object of the present study was to present a case of a patient aged 71 years who needed endodontic re-treatment, where IR treatment was selected. The patient reported spontaneous pain which disappeared completely with the use of analgesics. This tooth had previously been treated endodontically around 1 year earlier, and no pain was reported in the first two months after treatment.Nonetheless, about 3 months before the present consultation, intensity of the symptoms had increased with a sensation of pressure in the apical-coronal direction. Cone-beam computerised tomography (CBCT) showed a periapical lesion in tooth 3.7. Based on the clinical and imaging examinations, acute apical periodontitis was diagnosed in tooth 3.7.The tooth was treated by IR. It was carefully extracted and inspected for cracks or perforations. It was treated under the microscope with root resection, and then retrograde obturation was carried out with bioceramic material. The tooth was then repositioned in its alveolus. It was immobilised for 15 days, after which the patient could return gradually to normal masticatory function. In the 6 months check-up the patient presented no pain or sensitivity to percussion. No root resorption or periapical radiolucency was observed in the periapical X-ray. We conclude that IR is an alternative to extraction followed or not by prosthetic treatment, for patients who need endodontic re-treatment. The treatment presents good levels of success, and of acceptance by the patient.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.14 n.3 20202020-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000300358en10.4067/S0718-381X2020000300358
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	endodontic re-treatment intentional reimplantation root canal
spellingShingle	endodontic re-treatment intentional reimplantation root canal Alves,Nilton Nascimento,Carlos Manuel de Oliveira Moya,Edmar Deana,Naira Figueiredo Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report
description	ABSTRACT: In patients who need endodontic re-treatment, and where the prognosis for surgical or non-surgical re-treatment is poor or treatment may be risky, one alternative is to opt for extraction of the affected tooth and replacement by an implant. However treatment by intentional reimplantation (IR) is also a possibility. The object of the present study was to present a case of a patient aged 71 years who needed endodontic re-treatment, where IR treatment was selected. The patient reported spontaneous pain which disappeared completely with the use of analgesics. This tooth had previously been treated endodontically around 1 year earlier, and no pain was reported in the first two months after treatment.Nonetheless, about 3 months before the present consultation, intensity of the symptoms had increased with a sensation of pressure in the apical-coronal direction. Cone-beam computerised tomography (CBCT) showed a periapical lesion in tooth 3.7. Based on the clinical and imaging examinations, acute apical periodontitis was diagnosed in tooth 3.7.The tooth was treated by IR. It was carefully extracted and inspected for cracks or perforations. It was treated under the microscope with root resection, and then retrograde obturation was carried out with bioceramic material. The tooth was then repositioned in its alveolus. It was immobilised for 15 days, after which the patient could return gradually to normal masticatory function. In the 6 months check-up the patient presented no pain or sensitivity to percussion. No root resorption or periapical radiolucency was observed in the periapical X-ray. We conclude that IR is an alternative to extraction followed or not by prosthetic treatment, for patients who need endodontic re-treatment. The treatment presents good levels of success, and of acceptance by the patient.
author	Alves,Nilton Nascimento,Carlos Manuel de Oliveira Moya,Edmar Deana,Naira Figueiredo
author_facet	Alves,Nilton Nascimento,Carlos Manuel de Oliveira Moya,Edmar Deana,Naira Figueiredo
author_sort	Alves,Nilton
title	Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report
title_short	Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report
title_full	Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report
title_fullStr	Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report
title_full_unstemmed	Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report
title_sort	intentional reimplantation of left lower second molar as an alternative to extraction: a case report
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000300358
work_keys_str_mv	AT alvesnilton intentionalreimplantationofleftlowersecondmolarasanalternativetoextractionacasereport AT nascimentocarlosmanueldeoliveira intentionalreimplantationofleftlowersecondmolarasanalternativetoextractionacasereport AT moyaedmar intentionalreimplantationofleftlowersecondmolarasanalternativetoextractionacasereport AT deananairafigueiredo intentionalreimplantationofleftlowersecondmolarasanalternativetoextractionacasereport
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Intentional Reimplantation of Left Lower Second Molar as an Alternative to Extraction: A Case Report

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