Intentional replantation of a mandibular second molar with atypical internal apical morphology: A case report
DOI:
https://doi.org/10.37135/ee.04.21.10Keywords:
diente no vital, retratamiento, endodoncia, preparación del conducto radicularAbstract
Periodontitis after endodontic treatment is mainly caused by a persistent bacterial infection at the root canal level and in the periradicular tissues. However, there is a 5% to 15% prevalence where bacteria can persist in adequate endodontic treatments that are generally caused by atypical internal morphologies that prevent the access of instruments and antimicrobial irrigating agents to areas with anatomical difficulty. This article describes a clinical case of a mandibular second molar with an atypical apical internal morphology, which presented symptoms associated with canal filling in its first intervention. The tooth was immediately reimplanted intentionally and fixed with an X-shaped suture for two weeks. Appropriate intervention with intentional replantation resulted in the resolution of symptoms and healing of periradicular tissue with clinical and radiographic follow-up for two years.
Downloads
References
Siqueira JF, Rôças IN, Ricucci D, Hülsmann M. Causes and management of post-treatment apical periodontitis. British Dental Journal. 2014 [ cited 15 May 2024];216(6):305-312. Available online: https://www.nature.com/articles/sj.bdj.2014.200.
Antunes HS, Rôças IN, Alves FRF, Siqueira JF, Jr. Total and Specific Bacterial Levels in the Apical Root Canal System of Teeth with Post-treatment Apical Periodontitis. Journal of Endodontics. 2015 [accessed on 15 May 2024];41(7):1037-1042. Available online: https://www.jendodon.com/article/S0099-2399(15)00240-X/abstract.
Provenzano JC, Antunes HS, Alves FRF, Rôças IN, Alves WS, Silva MRS, et al. Host-Bacterial Interactions in Post-treatment Apical Periodontitis: A Metaproteome Analysis. Journal of Endodontics. 2016 [accessed on 16 May 2024];42(6):880-885. Available online: https://www.jendodon.com/article/S0099-2399(16)30022-X/abstract.
Zandi H, Kristoffersen AK, Ørstavik D, Rôças IN, Siqueira JF, Jr., Enersen M. Microbial Analysis of Endodontic Infections in Root-filled Teeth with Apical Periodontitis before and after Irrigation Using Pyrosequencing. Journal of Endodontics. 2018 [accessed on 16 May 2024];44(3):372-378. Available online: https://www.jendodon.com/article/S0099-2399(17)31264-5/abstract.
Shin JM, Luo T, Lee KH, Guerreiro D, Botero TM, McDonald NJ, et al. Deciphering Endodontic Microbial Communities by Next-generation Sequencing. Journal of Endodontics. 2018 [accessed on 17 May 2024];44(7):1080-1087. Available online: https://www.jendodon.com/article/S0099-2399(18)30241-3/abstract.
Siqueira JF, Jr., Antunes HS, Pérez AR, Alves FRF, Mdala I, Silva EJNL, et al. The Apical Root Canal System of Teeth with Post-treatment Apical Periodontitis: Correlating Microbiologic, Tomographic, and Histopathologic Findings. Journal of Endodontics. 2020 [accessed on 18 May 2024];46(9):1195-1203. Available online: https://www.jendodon.com/article/S0099-2399(20)30383-6/abstract.
Hernández SR, Siqueira JF, Jr., Voigt DD, Soimu G, Brasil SC, Provenzano JC, et al. Bacteriologic Conditions of the Apical Root Canal System of Teeth with and without Posttreatment Apical Periodontitis: A Correlative Multianalytical Approach. Journal of Endodontics. 2024 [accessed on 19 May 2024];50(2):154-163. Available online: https://www.jendodon.com/article/S0099-2399(23)00723-9/abstract.
Kalantar Motamedi MR, Mortaheb A, Zare Jahromi M, Gilbert BE. Micro-CT Evaluation of Four Root Canal Obturation Techniques. Scanning. 2021 [accessed on 20 May 2024]; 2021:6632822:1-7. Available online: https://onlinelibrary.wiley.com/doi/10.1155/2021/6632822.
Siqueira Junior JF, Rocas IDN, Marceliano-Alves MF, Perez AR, Ricucci D. Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies. Braz Oral Res. 2018 [accessed on 20 May 2024];32(1):2-19. Available online: https://www.scielo.br/j/bor/a/8p3bLKhhjcrzryGhQxQBBLc/?lang=en.
Villa-Machado PA, Restrepo-Patiño DM, Calvo-Trejos JP, Restrepo-Restrepo FA, Tobón-Arroyave SI, Provenzano JC, et al. Cone-beam Computed Tomographic and Micro-computed Tomographic Evaluations of the Root Apexes of Teeth with Post-treatment Apical Periodontitis. Journal of Endodontics. 2020 [accessed on 20 May 2024];46(11):1695-1701. Available online: https://www.jendodon.com/article/S0099-2399(20)30496-9/abstract.
Becker BD. Intentional Replantation Techniques: A Critical Review. Journal of Endodontics. 2018 [accessed on 20 May 2024];44(1):14-21. Available online: https://www.jendodon.com/article/S0099-2399(17)30944-5/fulltext.
Nagendrababu V, Chong BS, McCabe P, Shah PK, Priya E, Jayaraman J, et al. PRICE 2020 guidelines for reporting case reports in Endodontics: a consensus-based development. Int Endod J. 2020 [accessed on 20 May 2024];53(5):619-626. Available online: https://onlinelibrary.wiley.com/doi/10.1111/iej.13285.
Sheikhnezami M, Azarpazhooh A, Mokhber A, Shamsian K, Bagheri M, Jafarzadeh H. The Outcome of Endodontic Regeneration in a Delayed Replanted Immature Permanent Incisor: A TurboReg Analysis of a Case. J Clin Pediatr Dent. 2022 [accessed on 20 May 2024];46(3):183-187. Available online: https://www.jocpd.com/articles/10.17796/1053-4625-46.3.2.
Asgary S, Parhizkar A. Healing of a large endodontic lesion due to a procedural accident using intentional replantation; a case report. J Dent Sci. 2023 [accessed on 20 May 2024];18(3):1414-1416. Available online: https://www.sciencedirect.com/science/article/pii/S1991790222003038?via%3Dihub.
Plotino G, Abella Sans F, Duggal MS, Grande NM, Krastl G, Nagendrababu V, et al. Present status and future directions: Surgical extrusion, intentional replantation and tooth autotransplantation. Int Endod J. 2022 [accessed on 20 May 2024];55(3):827-842. Available online: https://onlinelibrary.wiley.com/doi/10.1111/iej.13723.
Marouane O, Turki A, Oualha L, Douki N. Tooth replantation: an update. Med Buccale Chir Buccale. 2017 [accessed on 20 May 2024];23(2):103–110. Available online: https://www.jomos.org/articles/mbcb/pdf/2017/02/mbcb150072.pdf
Pisano M, Di Spirito F, Martina S, Sangiovanni G, D'Ambrosio F, Iandolo A. Intentional Replantation of Single-Rooted and Multi-Rooted Teeth: A Systematic Review. Healthcare (Basel). 2022 [accessed on 20 May 2024];11(1):1-17. Available online: https://www.mdpi.com/2227-9032/11/1/11.
Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Endod Dent Traumatol. 1995 [accessed on 20 May 2024];11(2):76–89. Available online: https://doi.org/10.1111/j.1600-9657.1995.tb00464.x
Lauridsen E, Andreasen JO, Bouaziz O, Andersson L. Risk of ankylosis of 400 avulsed and replanted human teeth in relation to length of dry storage: a re-evaluation of a long-term clinical study. Dent Traumatol. 2020 [accessed on 20 May 2024];36(2):108–116 Available online: https://doi.org/10.1111/edt.12520
Huang JW, Gan YN, Xu H, Han S, Zhu H, Jia L, et al. Tooth intentional replantation from 1964 to 2023: A bibliometric analysis. Dent Traumatol. 2024 [accessed on 20 May 2024];40(1):121-132. Available online: https://onlinelibrary.wiley.com/doi/10.1111/edt.12884.
Chaniotis A, Kouimtzis TH. Intentional replantation and Biodentine root reconstruction. A case report with 10-year follow-up. Int Endod J. 2021 [accessed on 20 May 2024];54(6):988-1000. Available online: https://onlinelibrary.wiley.com/doi/10.1111/iej.13475.
Chiu YL, Chiang CP, Lee MS, Ho CJ. Intentional replantation - A case report with 20-year follow-up. J Dent Sci. 2023 [accessed on 20 May 2024];18(1):453-455. Available online: https://www.sciencedirect.com/science/article/pii/S1991790222002203?via%3Dihub.
Moura LF, Lima MD, Moura MS, Carvalho PV, Cravinhos JC, Carvalho CM. Treatment of a crown-root fracture with intentional replantation - case report with 16-year follow-up. Int Endod J. 2012 [accessed on 18 May 2024];45(10):955-960. Available online: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2591.2012.02078.x.
Niavarzi S, Noori F, Sheikhrezaei MS, Ghabraei S. Diagnosis and Treatment of an Incomplete Crown-Root Fracture with Intentional Replantation: A Case Report. Front Dent. 2022 [accessed on 20 May 2024];19(24):1-6. Available online: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675627/.
Okamoto M, Asahi Y, Duncan HF, Kuriki N, Takahashi Y, Hayashi M. Repair of an Extensive External Cervical Resorption Lesion Using Intentional Replantation with Crown Rotation. Case Rep Dent. 2023 [accessed on 18 May 2024]; 2023:2103999:1-10. Available online: https://onlinelibrary.wiley.com/doi/10.1155/2023/2103999.
Wang Y, Hofmann M, Ruf S, Zhang J, Huang Q. Intentional replantation and dental autotransplantation of mandibular posterior teeth: Two case reports. Medicine (Baltimore). 2023 [ accessed on 17 May 2024];102(46):1-6. Available online: https://journals.lww.com/md-journal/fulltext/2023/11170/intentional_replantation_and_dental.1.aspx.
Plotino G, Abella Sans F, Duggal MS, Grande NM, Krastl G, Nagendrababu V, et al. Clinical procedures and outcome of surgical extrusion, intentional replantation and tooth autotransplantation- a narrative review. Int Endod J. 2020 [accessed on 19 May 2024];53(12):1636-1652. Available online: https://onlinelibrary.wiley.com/doi/10.1111/iej.13396.
Grossman LI. Intentional replantation of teeth. J Am Dent Assoc. 1966 [accessed on 19 May 2024];72(5):1111–1118. Available online: https://doi.org/10.14219/jada.archive.1966.0125
Emmertsen E, Andreasen JO. Replantation of extracted molars. A radiographic and histological study. Acta Odontol Scand. 1966 [accessed on 19 May 2024];24(3):327–46. Available online: https://doi.org/10.3109/00016356609028225
Bender IB, Rossman LE. Intentional replantation of end- odontically treated teeth. Oral Surg Oral Med Oral Pathol. 1993 [accessed on 19 May 2024];76(5):623–30. Available online: https://doi.org/10.1016/0030-4220(93)90073-D
Gilheany PA, Figdor D, Tyas MJ. Apical dentin permeability and microleakage associated with root end resection and retro- grade filling. J Endod. 1994 [accessed on 19 May 2024];20(1):22–6. Available online: https://www.jendodon.com/article/S0099-2399(06)80022-1/abstract
Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod. 2006 [accessed on 19 May 2024];32(7):601–23. Available online: https://doi.org/10.1016/j.joen.2005.12.010
Klein-Junior CA, Zimmer R, Dobler T, Oliveira V, Marinowic DR, Ozkomur A, et al. Cytotoxicity assessment of Bio-C Repair Ion+: A new calcium silicate-based cement. J Dent Res Dent Clin Dent Prospects. 2021[accessed on 18 May 2024];15(3):152-156. Available online: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8538145/.
Ghilotti J, Sanz JL, Lopez-Garcia S, Guerrero-Girones J, Pecci-Lloret MP, Lozano A, et al. Comparative Surface Morphology, Chemical Composition, and Cytocompatibility of Bio-C Repair, Biodentine, and ProRoot MTA on hDPCs. Materials (Basel). 2020 [18 May 2024];13(9):1-13. Available online: https://www.mdpi.com/1996-1944/13/9/2189.
Abrao SMS, Gregorio D, Azevedo MKC, Mori GG, Poli-Frederico RC, Maia LP. Cytotoxicity and genotoxicity of Bio-C Repair, Endosequence BC Root Repair, MTA Angelus and MTA Repair HP. Braz Dent J. 2023 [accessed on 20 May 2024];34(2):14-20. Available online: https://www.scielo.br/j/bdj/a/hyfbVyBv8dMqpzNVdm53DBr/?lang=en.
Queiroz MB, Inada RNH, Jampani JLA, Guerreiro-Tanomaru JM, Sasso-Cerri E, Tanomaru-Filho M, et al. Biocompatibility and bioactive potential of an experimental tricalcium silicate-based cement in comparison with Bio-C repair and MTA Repair HP materials. Int Endod J. 2023 [accessed on 19 May 2024];56(2):259-277. Available online: https://onlinelibrary.wiley.com/doi/10.1111/iej.13863.
Javed F, Zafar K, Khan FR. Outcome of intentional replantation of endodontically treated teeth with periapical pathosis: A systematic review and meta-analysis. Aust Endod J. 2022 [29 Jul 2024]; 00:1–14. Available online: https://doi. org/10.1111/aej.12707
Published
Issue
Section
License
Copyright (c) 2024 Revista Eugenio Espejo
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
