Clinical experience of tooth replantation

Relevance. Modern dental practice strives, above all, to preserve teeth. A variety of operations aimed at this include dental replantation. Replantation is used in cases where there are difficulties with the root canals, such as their pathological bending or previous treatment with the resorcinol-formalin method, and also when root resection is impossible due to the risk of damage to surrounding structures, for example, the maxillary sinus or the inferior alveolar nerve.

The purpose of this study was to study the osseointegration of a replanted tooth subjected to coronoradicular separation.

Materials and methods. Thirty-one-year-old patient K. came to the dental clinic with the problem of pain in the projection of tooth 4.6, which occurs during chewing. A detailed examination revealed that the crown of tooth 4.6 had previously undergone restoration using a filling material that had defects. It was decided that tooth 4.6 should be removed and subsequently replanted. The tooth was extracted according to established procedures, while maximally preserving the surrounding periodontal and periosteal tissues. To preserve periodontal tissues, alveolar curettage was carefully performed. During the extraction of the tooth, it was longitudinally divided into two parts – the medial and distal roots. After this, the root canals were treated using extraoral therapy. The roots of tooth 4.6, treated with an antiseptic, were returned to their anatomical positions in the alveolus. The final stage was the creation of a control x-ray to verify the correctness of the replantation.

Conclusions. After two years of observation of tooth 4.6, which was subjected to replantation, no pathological changes in root stability were detected. It was reported that the soft tissue surrounding the roots of the tooth formed a structure similar to the periodontal sulcus, which facilitated the use of retraction cord during tooth preparation.

1. Ivashchenko A.V. Clinical and morphological substantiation of modern technologies of replantation, autotransplantation and dental prosthetics. Dissertation for the degree of Doctor of Medical Sciences / Federal State Budgetary Educational Institution of Higher Education «Saratov State Medical University named after V.I. Razumovsky» of the Ministry of Health of the Russian Federation. 2017.

2. Ivashchenko A.V., Balandin E.I., Zubkov D.V. The role of periodontal tissues in the reparative processes of tooth replantation (immediate results) Clinical dentistry.2016. No. 4 (80). Pp. 52–54.

3. Ivashchenko A.V., Yablokov A.E., Antonyan Ya.E., Geletin P.N. Analysis of dental implantation methods. Bulletin of the medical institute «REAVIZ»: rehabilitation, doctor and health. 2018. No. 3 (33). Pp. 65–75.

4. Ivashchenko A.V., Yablokov A.E., Arkhipov V.D., Fedyaev I.M., Arkhipov V.Ya., Tlustenko V.P. Organ-preserving technologies as an alternative to dental implantation. Bulletin of Volgograd State Medical University. 2019. No. 3 (71). Pp. 51–54.

5. Marchenko Ya.V., Potapov V.P., Ivashchenko A.V., Ilyin A.N. morphofunctional features of blood supply to the human maxillofacial area. Morphological statements. 2008. No. 3–4. Pp. 135–136.

6. Ivashchenko A.V., Yablokov A.E., Arkhipov V.D., Fedyaev I.M., Arkhipov V.Ya., Tlustenko V.P. Organ-preserving technologies as an alternative to dental implantation. Bulletin of Volgograd State Medical University. 2019. No. 3 (71). Pp. 51–54.

7. Ivashchenko A.V., Yablokov A.E., Antonyan Ya.E., Geletin P.N. Analysis of dental implantation methods. Bulletin of the medical institute «REAVIZ»: rehabilitation, doctor and health. 2018. No. 3 (33). Pp. 65–75.

8. Ivashchenko A.V., Yablokov A.E., Tlustenko V.S., Postnikov M.A., Popov N.V., Tlustenko V.P., Tugushev V.V., Cherezova N.I., Mukhina A.A., Belanov G.N. Analysis of osseous tissue temperature during preparation of recipient bed for cylindrical implants. Frontiers in Bioscience – Scholar. 2018. V. 10. No. 2. P. 285–299.