Said DHAIMY¹*, Wahiba LAGMOU² and Zineb BENZHA²

¹Department of Restorative Dentistry and Endodontics, School of Dentistry, Hassan II University, Morocco
²School of Dentistry, Hassan II University, Morocco

*Corresponding Author: Said DHAIMY, Department of Restorative Dentistry and Endodontics, School of Dentistry, Hassan II University, Morocco.

Received: October 28, 2022; Published: November 17, 2022

Abstract

In some cases of intractable pulpal diseases, the conventional endodontic therapy and the surgical intervention may become unfeasible. Intentional replantation can be an alternative solution to consider in the absence of contraindications. The present case report describes the management of a right mandibular premolar with a periradicular lesion of endodontic origin due to instrument separation. The patient who was referred to our clinic complained of a fistula and swelling in addition to a cyst-like radiolucent image and instrument fractures in the first right mandibular premolar. Considering the proximity to the mental nerve, it was decided to intentionally replant the tooth. Gentle extraction was done, and the socket has been corrected to remove the granulomatous tissue then the endodontic treatment and the retrograde obturation with MTA have been performed extra orally before replantation. Finally, a semi-rigid splint was applied for 3 weeks. The described technique in this case report was successful after a follow-up of two years which confirmed a complete clinical and radiographic healing.

Keywords:Intentional Replantation; Endodontic Surgery; MTA; Periradicular Lesion

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Citation

Citation: Said DHAIMY., et al. “Intentional Replantation for the Treatment of a Lower Premolar with Periradicular Lesion".Acta Scientific Dental Sciences 6.12 (2022): 90-101.

Copyright

Copyright: © 2022 Said DHAIMY., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.