Open AccessCLINICAL AND RADIOGRAPHIC EVALUATION OF INTENTIONAL REPLANTATION OF TEETH UTILIZING ATRAUMATIC EXTRACTION TECHNIQUE AND BIODENTIN AS ROOT END RESTORATIVE MATERIAL. AN IN VIVO STUDY
Author(s) -
Anil K Tomer,
Hysum Mushtaq,
Ayush Tyagi,
Sachin Poonia,
Geetika Sabharwal,
Supriya Singh,
Shivangi Jain
Publication year - 2021
Publication title -
international journal of medical science and diagnosis research
Language(s) - English
Resource type - Journals
eISSN - 2589-7837
pISSN - 2581-3935
DOI - 10.32553/ijmsdr.v5i4.784
Subject(s) - medicine , dentistry , radiodensity , endodontics , radiography , ankylosis , replantation , resorption , root canal , orthodontics , surgery
Aims: Aim is to evaluate the clinical and radiographic outcome of Intentional Replantation of teeth utilizing Atraumatic extraction technique and Biodentin as root end restorative material
Materials and Methods: Any patients irrespective of age & sex who reported to the Department of Conservative Dentistry & Endodontics, D. J. College of Dental Sciences & Research with the post endodontic treatment periapical pathology where orthograde retreatment and apical surgery was unfeasible or declined by patients and where extraction be the last resort was selected for the procedure. Informed consent was taken. Retention and healed status without complications (periapical radiolucency, external root resorption, ankylosis, signs/symptoms, probing <6 mm) was recorded and analyzed with Kaplan-Meier survival analysis and Cox proportional hazard regression model (P < .05). Bivariate associations of the investigated variables with the main complications (ankylosis, periapical radiolucency, external root resorption) evaluated.
Results: Cumulative healed rates from 60% at 6 months to 92% at 12months seen. Complications leading to extraction observed in 1 of 15 attending teeth. The Kaplan-Meier survival function suggested an expected 1-year cumulative retention rate of 92%. Among the 15 teeth, 1 tooth with complication was due to persistent periapical radiolucency and mobility.
Null hypothesis was that IR is to preserve the natural dentition, there by upholding the main goal of Conservative treatment.
Conclusions: Within the limitations of this study, after analyzing the results and obtaining a complete follow up of 12 months radiographically and clinically, it can be concluded that Intentional replantation is an alternative treatment and should be included in the savior procedures as it has shown a success rate of 92%.
Keywords: endodontic complications, intentional replantation, physics forceps, Biodentin