Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure

Introduction. If the teeth are impacted by a chronic irritant, the pulp space possibly will undergo calcific changes that may impede access opening during root canal treatment. In such cases that conventional endodontic treatment is impossible or impractical, intentional replantation may be consider...

Full description

Saved in:
Bibliographic Details
Main Authors: Nima Moradi Majd, Armita Arvin, Alireza Darvish, Sareh Aflaki, Hamed Homayouni
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2014/793892
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560177693327360
author Nima Moradi Majd
Armita Arvin
Alireza Darvish
Sareh Aflaki
Hamed Homayouni
author_facet Nima Moradi Majd
Armita Arvin
Alireza Darvish
Sareh Aflaki
Hamed Homayouni
author_sort Nima Moradi Majd
collection DOAJ
description Introduction. If the teeth are impacted by a chronic irritant, the pulp space possibly will undergo calcific changes that may impede access opening during root canal treatment. In such cases that conventional endodontic treatment is impossible or impractical, intentional replantation may be considered as a last solution to preserve the tooth. Methods. After failing to perform conventional root canal therapy for a necrotic calcified right mandibular second premolar, the tooth was gently extracted. The root apex was resected and the root end cavity was prepared and filled with calcium enriched mixture (CEM) cement. Then, the extracted tooth was replanted in its original position. Results. After a year the tooth was asymptomatic, and the size of periapical radiolucency was remarkably reduced and no clinical sign of ankylosis was observed. Conclusion. Intentional replantation of the necrotic calcified teeth could be considered as an alternative to teeth extraction, especially for the single-rooted teeth and when nonsurgical and surgical endodontic procedures seem impossible.
format Article
id doaj-art-4a88e7bbd2d0447dbe8dd666e7f70504
institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-4a88e7bbd2d0447dbe8dd666e7f705042025-02-03T01:28:09ZengWileyCase Reports in Dentistry2090-64472090-64552014-01-01201410.1155/2014/793892793892Treatment of Necrotic Calcified Tooth Using Intentional Replantation ProcedureNima Moradi Majd0Armita Arvin1Alireza Darvish2Sareh Aflaki3Hamed Homayouni4Department of Endodontics, Dental School, Qazvin University of Medical Sciences, Qazvin 34157-59811, IranDepartment of Endodontics, Dental School, Yazd University of Medical Sciences, Yazd 8914881167, IranDepartment of Endodontics, Dental School, Qazvin University of Medical Sciences, Qazvin 34157-59811, IranDepartment of Endodontics, Dental School, Qazvin University of Medical Sciences, Qazvin 34157-59811, IranDepartment of Endodontics, Dental School, Qazvin University of Medical Sciences, Qazvin 34157-59811, IranIntroduction. If the teeth are impacted by a chronic irritant, the pulp space possibly will undergo calcific changes that may impede access opening during root canal treatment. In such cases that conventional endodontic treatment is impossible or impractical, intentional replantation may be considered as a last solution to preserve the tooth. Methods. After failing to perform conventional root canal therapy for a necrotic calcified right mandibular second premolar, the tooth was gently extracted. The root apex was resected and the root end cavity was prepared and filled with calcium enriched mixture (CEM) cement. Then, the extracted tooth was replanted in its original position. Results. After a year the tooth was asymptomatic, and the size of periapical radiolucency was remarkably reduced and no clinical sign of ankylosis was observed. Conclusion. Intentional replantation of the necrotic calcified teeth could be considered as an alternative to teeth extraction, especially for the single-rooted teeth and when nonsurgical and surgical endodontic procedures seem impossible.http://dx.doi.org/10.1155/2014/793892
spellingShingle Nima Moradi Majd
Armita Arvin
Alireza Darvish
Sareh Aflaki
Hamed Homayouni
Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure
Case Reports in Dentistry
title Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure
title_full Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure
title_fullStr Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure
title_full_unstemmed Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure
title_short Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure
title_sort treatment of necrotic calcified tooth using intentional replantation procedure
url http://dx.doi.org/10.1155/2014/793892
work_keys_str_mv AT nimamoradimajd treatmentofnecroticcalcifiedtoothusingintentionalreplantationprocedure
AT armitaarvin treatmentofnecroticcalcifiedtoothusingintentionalreplantationprocedure
AT alirezadarvish treatmentofnecroticcalcifiedtoothusingintentionalreplantationprocedure
AT sarehaflaki treatmentofnecroticcalcifiedtoothusingintentionalreplantationprocedure
AT hamedhomayouni treatmentofnecroticcalcifiedtoothusingintentionalreplantationprocedure