Intentional replantation for the retreatment of mandibular second molar: a case report

Hua Xi Kou Qiang Yi Xue Za Zhi. 2023 Aug 1;41(4):471-477. doi: 10.7518/hxkq.2023.2022487.
[Article in English, Chinese]

Abstract

When the use of root canal retreatment and apical surgery experiences difficulty in treating endodontic diseases, intentional replantation is an optional clinical technique used to retain the tooth. A 28-year-old female complained of chewing discomfort at the mandibular second molar after undergoing root canal treatment 3 month ago. History record and radiographic examination revealed that a C-shaped root canal system was filled with gutta-percha in the mandibular second molar. A radiolucency area existed at the root furcal area with a thin canal wall in the distal and mesial roots. Intentional replantation was used to treat this tooth. The clinical and radiographic results showed that intentional replantation and nano-biomaterial application facilitated infection control, tooth retention, and periodontal tissue regeneration.

Keywords: disease after root canal treatment; intentional replantation; mandibular second molar.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dental Pulp Cavity
  • Female
  • Gutta-Percha / therapeutic use
  • Humans
  • Molar / surgery
  • Retreatment
  • Root Canal Therapy*
  • Tooth Replantation*
  • Tooth Root

Substances

  • Gutta-Percha

Grants and funding

[基金项目] 广东省医学科研基金(A2021180)