Negative experience with osteoplastic materials during tooth replantation operation

Abstract

This article has studied the problem of integration of replated teeth. Based on clinical and additional research methods, data on fibroosteointegration and osseointegration of replanted teeth were obtained. Purpose. To study the possibility of regeneration of the periodontium in the area of the root of the tooth containing the granuloma. Materials and methods. Patient M., 40 years old, came to the dental clinic with complaints of pain when biting on a tooth in the lower jaw on the left. Objectively: the tooth 3.6 was previously treated with the resorcin-formalin method, the gum from the vestibular side is swollen and hyperemic, there is a fistula. Palpation revealed mobility of 1 degree. On the targeted intraoral X-ray image, there is an expansion of the periodontal gap of the tooth 3.6 throughout. Channels of the medial root are not sealed, distal channels are not sealed to the apex. Tooth 3.6 has inter-root resorption in the area of bifurcation. The patient was asked to replant the tooth 3.6. Conclusion. In the bifurcation of the tooth 3.6, after 1 month, an osteoplastic material was observed on the roentgenogram, which after 1 year was completely resorbed. In bifurcation 3.6, neither fibrointegration nor osteointegration occurred, whereas the rest of the root part of the tooth 3.6 shows the presence of a periodontal slit of normal width, which indicates fibrointegration.