Intentional replantation of periodontally involved hopeless teeth: a case series study

Abstract

Objectives

To explore the clinical effect, the healing modes, and the potential influence factors of intentional replantation for periodontally hopeless teeth in combination with regeneration techniques.

Materials and methods

Intentional replantation was operated on forty-eight periodontally hopeless teeth from forty-eight patients. The clinical indexes and the X-ray films were recorded during the follow-up period of 18 months. The Wilcoxon signed-rank test or the paired T test was adopted to carry out the statistical analysis.

Results

The overall survival rate at the ninth month was 95.8% and declined to 91.7% at the eighteenth month. The improved rate of the mobility was 89.1% at the ninth month and the ankylosis percentage was 77.3% at the eighteenth month. The survival rate and mobility-improved rate of anterior teeth were both better than that of posterior teeth. Probing depth and bone loss decreased while ginginval recession increased (P < 0.05). Smoking had an adverse effect on both mobility improvement and bone gain (P < 0.05).

Conclusions

Intentional replantation for periodontally hopeless teeth could achieve favorable outcomes through a reasonable healing mode of tooth ankylosis. Strict control of infection and smoking could improve the success rate of this procedure.

Clinical relevance

To provide additional treatment for allowance of flexible options when patients and dentists are faced with periodontally hopeless teeth.

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References

  1. 1.

    Asgary S, Marvasti LA, Kolahdouzan A (2014) Indications and case series of intentional replantation of teeth. Iranian Endodontic Journal 9(1):71–78

    PubMed  Google Scholar 

  2. 2.

    Rouhani A, Javidi B, Habibi M et al (2011) Intentional replantation: a procedure as a last resort. J Contemp Dent Pract 12(6):486–492

    Article  Google Scholar 

  3. 3.

    Madison S (1997) Intentional replantation. Nederlands Tijdschrift Voor Tandheelkunde 41(3):603

    Google Scholar 

  4. 4.

    Lee EU, Lim HC, Lee JS, Jung UW, Kim US, Lee SJ, Choi SH (2014) Delayed intentional replantation of periodontally hopeless teeth: a retrospective study. J Period Implant Sci 44(1):13–19, 10.5051/jpis.2014.44.1.13

    Article  Google Scholar 

  5. 5.

    Cho SY, Lee SJ, Kim E (2017) Clinical outcomes after intentional replantation of periodontally involved teeth. J Endod 43:550–555. https://doi.org/10.1016/j.joen.2016.11.024

    Article  PubMed  Google Scholar 

  6. 6.

    Ryana HK, Srinath R, Prakash S (2016) Surgical re-entry of an intentionally replanted periodontally compromised tooth treated with platelet rich fibrin (PRF): hopeless to hopeful. J Clin Diagn Res Jcdr 10(6):ZD01

    PubMed  Google Scholar 

  7. 7.

    Keceli HG, Hendek MK (2014) Fifteen months follow-up of a hopeless tooth treated with two-step procedure involving intentional replantation and free gingival graft. Eur J Dent 8(4):559–562

    Article  Google Scholar 

  8. 8.

    Nagappa G, Shivanand A, Archana D et al (2013) Intentional replantation of periodontally compromised hopeless tooth. J Indian Soc Periodontol 17(5):665–669

    Article  Google Scholar 

  9. 9.

    Sapir S, Shapira J (2008) Decoronation for the management of an ankylosed young permanent tooth. Dent Traumatol Off Publ Int Assoc Dent Traumatol 24(1):131–135. https://doi.org/10.1111/j.1600-9657.2006.00506.x

    Article  Google Scholar 

  10. 10.

    Torabinejad M, Dinsbach NA, Turman M, Handysides R, Bahjri K, White SN (2015) Survival of intentionally replanted teeth and implant-supported single crowns: a systematic review. J Endod 41(7):992–998. https://doi.org/10.1016/j.joen.2015.01.004

    Article  PubMed  Google Scholar 

  11. 11.

    Andreasen JO (1981) Periodontal healing after replantation and autotransplantation of incisors in monkeys. Int J Oral Surg 10(1):54–61

    Article  Google Scholar 

  12. 12.

    Andreasen JO (1980) Analysis of pathogenesis and topography of replacement root resorption (ankylosis) after replantation of mature permanent incisors in monkeys. Swed Dent J 4(6):231–240

    PubMed  Google Scholar 

  13. 13.

    Isaacson R, Strauss R, Bridges-Poquis A, Peluso AR, Lindauer SJ (2001) Moving an ankylosed central incisor using orthodontics, surgery and distraction osteogenesis. Angle Orthod 71(5):411–418

    PubMed  Google Scholar 

  14. 14.

    Andersson L, Blomlöf L, Lindskog S, Feiglin B, Hammarström L (1984) Tooth ankylosis : clinical, radiographic and histological assessments. Int J Oral Surg 13(5):423–431

    Article  Google Scholar 

  15. 15.

    Gargiulo A (1961) Dimensions and relations of the dentogingival junction in hymans. J Periodontol 32(3):261–267

    Article  Google Scholar 

  16. 16.

    Wang F, Li Q, Wang Z (2017) A comparative study of the effect of Bio-Oss in combination with concentrated growth factors or bone marrow-derived mesenchymal stem cells in canine sinus grafting. J Oral Pathol Med 46(7):528–536

    Article  Google Scholar 

  17. 17.

    Qiao J, An N, Ouyang X (2017) Quantification of growth factors in different platelet concentrates. Platelets 28(8):774–778 1–5

    Article  Google Scholar 

  18. 18.

    Andreasen J (1981) The effect of excessive occlusal trauma upon periodontal healing after replantation of mature permanent incisors in monkeys. Swed Dent J 5(3):115–122

    PubMed  Google Scholar 

  19. 19.

    Andreasen JO (1980) A time-related study of periodontal healing and root resorption activity after replantation of mature permanent incisors in monkeys. Swed Dent J 4(3):101–110

    PubMed  Google Scholar 

  20. 20.

    Andreasen JO (1975) The effect of splinting upon periodontal healing after replantation of permanent incisors in monkeys. Acta Odontol Scand 33(6):313–323

    Article  Google Scholar 

  21. 21.

    Andreasen JO (1981) The effect of pulp extirpation or root canal treatment on periodontal healing after replantation of permanent incisors in monkeys. J Endod 7(6):245–252

    Article  Google Scholar 

  22. 22.

    Jing Q, Jin-Yu D, Yi C et al (2017) Effect of concentrated growth factors on the treatment of degree II furcation involvements of mandibular molars. J Peking Univ 49(1):36

    Google Scholar 

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Acknowledgments

The authors acknowledged the Department of Periodontics, College of Stomatology, Xi’an Jiaotong University, for providing research material.

Funding

The work was supported by the New Clinical Techniques of Hospital of Stomatology, Xi’an Jiaotong University (xjkqxjs2015-06), the Science and Technology Project of Xi’an (2016051SF/YX07), and the Youth Scientific Research Fund of Hospital of Stomatology, Xi’an Jiaotong University.

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Correspondence to Yue Chen.

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The authors declare that they have no conflict of interest.

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The ethics committee of Xi’an Jiao Tong University approved this study ([2016] [002]).All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee.

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Informed consent was obtained from all individual participants included in the study.

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Zhang, J., Luo, N., Miao, D. et al. Intentional replantation of periodontally involved hopeless teeth: a case series study. Clin Oral Invest 24, 1769–1777 (2020). https://doi.org/10.1007/s00784-019-03039-z

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Keywords

  • Intentional replantation
  • Periodontally hopeless teeth
  • Mobility
  • Tooth ankylosis
  • Smoking