2024-01-07 13:06:50
Doctors pointed out that deliberate replantation is not a mainstream treatment method, but with the improvement of technology and advancement of dental biomedical materials, the overall survival rate of affected teeth can reach more than 80%. (Image source/freepik)
Intentional replantation is a method of extracting the tooth under local anesthesia to remove possible inflammatory or pathological tissue around the tooth root tip. At the same time, the tooth apex resection and reverse root canal preparation and filling can be performed outside the mouth. Or a surgical root canal treatment that corrects the cause of root canal treatment failure and then implants the tooth back into the alveolar socket.
Due to the increase in the success rate of apical surgery and the popularity of dental implants, deliberate reimplantation is not a mainstream treatment method. However, with the improvement of technology and the advancement of dental biomedical materials, as well as good preoperative diagnosis and careful selection Under the premise of accurate diagnosis and treatment, the overall survival rate of affected teeth can reach more than 80%.
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Indications include persistent clinical symptoms following surgical or non-surgical root canal treatment, failure of non-surgical root canal treatment and failure to improve the problem with root canal re-treatment or periapical surgery, or when general surgery may damage important anatomical structures, The surgical path and visual field of the posterior teeth are poor, the patient’s physiological or medical factors, etc. Clinical contraindications include severe periodontal disease and severe shaking, spreading or bending of the tooth root, poor dentin structure, vertical root fracture, etc., and since the treatment involves tooth extraction, there is still a risk of crown and root fracture, so before carrying out such treatment Be sure to communicate with your doctor and choose the appropriate treatment method.
The original author is the Dental Department of Shin Kong Hospital. This article is reproduced from the 382nd issue of “Shin Kong Medical News”
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