Intentional replantation for periodontally involved hopeless teeth
- 21 February 2003
- journal article
- research article
- Published by Wiley in Dental Traumatology
- Vol. 19 (1), 45-51
- https://doi.org/10.1034/j.1600-9657.2003.00084.x
Abstract
– The aim of this study was to evaluate the clinical and radiographic results of intentional replantation of periodontally involved teeth after conditioning of root surfaces with tetracycline–HCl. Thirteen patients (seven female, six male; age range: 35–52 years) with 15 periodontally involved hopeless teeth were included in this study. During the replantation procedure, the affected teeth were gently extracted, then the granulation tissues, calculus, remaining periodontal ligament and necrotic cementum on the root surfaces were removed. Tetracycline–HCl, at a concentration of 100 mg ml−1, was applied for 5 min to the root surfaces. The teeth were then replaced into the socket and splinted. Patients were clinically and radiographically evaluated at baseline (time of surgery) and 6 months after the surgery. The following measurements were recorded: probing depth (PD), gingival recession (R), the amount of bone loss (BL) and bone gain (BG). Results indicated a reduction in PD and in the amount of bone loss and healthy gingiva. Mean PD was decreased from 5.25 to 2.36 mm, gingival recession was increased from 3.73 to 4.0 mm, and BL was reduced from 73.20 to 56.86%. At the end of 6 months, no root resorption or ankylosis was observed radiographically. Even during the short period of evaluation, it may be suggested that intentional replantation can be an alternative approach to extraction in cases where advanced periodontal destruction is present and no other treatments could be considered.Keywords
This publication has 32 references indexed in Scilit:
- Topical application of tetracycline-HCl in human periodontitisJournal of Clinical Periodontology, 1993
- A biochemical approach to periodontal regeneration: Tetracycline treatment of dentin promotes fibroblast adhesion and growthJournal of Periodontal Research, 1986
- Tooth avulsion and replantation — A reviewDental Traumatology, 1986
- The role of the necrotic periodontal membrane in cementum resorption and ankylosisDental Traumatology, 1985
- Tetracyclines inhibit parathyroid hormone-induced bone resorption in organ cultureCellular and Molecular Life Sciences, 1984
- Effect of long‐term tetracycline therapy on human periodontal diseaseJournal of Clinical Periodontology, 1983
- Tetracycline and Its Derivatives Strongly Bind to and Are Released From the Tooth Surface in Active FormThe Journal of Periodontology, 1983
- Histologic Changes in the Upper Alveolar Process After Extractions with or without Insertion of an Immediate Full DentureActa Odontologica Scandinavica, 1967
- Dimensions and Relations of the Dentogingival Junction in HumansThe Journal of Periodontology, 1961