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.
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).
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.
To provide additional treatment for allowance of flexible options when patients and dentists are faced with periodontally hopeless teeth.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Tax calculation will be finalised during checkout.
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
Tax calculation will be finalised during checkout.
Asgary S, Marvasti LA, Kolahdouzan A (2014) Indications and case series of intentional replantation of teeth. Iranian Endodontic Journal 9(1):71–78
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
Madison S (1997) Intentional replantation. Nederlands Tijdschrift Voor Tandheelkunde 41(3):603
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
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
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
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
Nagappa G, Shivanand A, Archana D et al (2013) Intentional replantation of periodontally compromised hopeless tooth. J Indian Soc Periodontol 17(5):665–669
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
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
Andreasen JO (1981) Periodontal healing after replantation and autotransplantation of incisors in monkeys. Int J Oral Surg 10(1):54–61
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
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
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
Gargiulo A (1961) Dimensions and relations of the dentogingival junction in hymans. J Periodontol 32(3):261–267
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
Qiao J, An N, Ouyang X (2017) Quantification of growth factors in different platelet concentrates. Platelets 28(8):774–778 1–5
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
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
Andreasen JO (1975) The effect of splinting upon periodontal healing after replantation of permanent incisors in monkeys. Acta Odontol Scand 33(6):313–323
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
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
The authors acknowledged the Department of Periodontics, College of Stomatology, Xi’an Jiaotong University, for providing research material.
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.
Conflict of interest
The authors declare that they have no conflict of interest.
The ethics committee of Xi’an Jiao Tong University approved this study ( ).All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee.
Informed consent was obtained from all individual participants included in the study.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
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
- Intentional replantation
- Periodontally hopeless teeth
- Tooth ankylosis