Int J Stomatol

Int J Stomatol ›› 2019, Vol. 46 ›› Issue (4): 400-406.doi: 10.7518/gjkq.2019064

• Original Articles • Previous Articles     Next Articles

Clinical study on intentional replantation for periodontally involved hopeless teeth

Zhang Jiayu,Luo Ning,Miao Di,Ying Xuan,Chen Yue()   

  1. Dept. of Periodontal and Oral Mucosa, The Stomatological Hospital of Xi’an Jiaotong University, Xi’an 710004, China
  • Received:2018-08-12 Revised:2019-02-04 Online:2019-07-01 Published:2019-07-12
  • Supported by:
    This study was supported by Xi’an Science and Technology Planning Projects(2016051SF/YX07);New Technology Projects of the Stomatological Hospital of Xi’an Jiaotong University(xjkqxjs2015-06);Youth Fund Project of the Stomatological Hospital of Xi’an Jiaotong University(2015-2)

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Abstract:

Objective To evaluate the clinical effect of intentional replantation for periodontally hopeless teeth and explore its healing mode and factors affecting prognosis.Methods Forty-two periodontally hopeless teeth from forty-two patients were intentionally replanted and followed up for 18 months. Clinical and radiographic data were collected and analyzed using the Wilcoxon signed-rank test or paired t-test.Results The survival rate declined from 95.2% at the ninth month to 90.5% at the eighteenth month. Approximately 87.5% of the patients showed improved mobility rate at the ninth month, and ankylosis occurred in 76.3% of the patients at the eighteenth month. Probing depth and bone loss improved, whereas gingival recession increased (P<0.05). Smoking decreased both mobility improvement and bone gain (P<0.05).Conclusion Intentional replantation for periodontally hopeless teeth could achieve favorable outcomes, and tooth ankylosis may be an important and reasonable post-operative healing procedure. Smoking should be regarded as a contraindication for this procedure.

Key words: intentional replantation, periodontally hopeless teeth, mobility, tooth ankylosis, smoking

CLC Number: 

  • R781.4

TrendMD: 

Fig 1

Operative procedure"

Fig 2

Measuring items of apical radiographs of affected teeth"

Tab 1

Looseness distribution frequency"

时间 松动度
0 Ⅰ Ⅱ Ⅲ
术前 0 0 1 39
术后9个月 23 12 0 5

Fig 3

Typical case"

Fig 4

Changes of periodontal index in affected toothA：PD;B：GR;C：BL。"

[1] Asgary S, Alim Marvasti L, Kolahdouzan A . Indications and case series of intentional replantation of teeth[J]. Iran Endod J, 2014,9(1):71-78.
[2] Rouhani A, Javidi B, Habibi M , et al. Intentional replantation: a procedure as a last resort[J]. J Contemp Dent Pract, 2011,12(6):486-492.
[3] Madison S . Intentional replantation[J]. Oral Surg Oral Med Oral Pathol, 1986,62(6):707-709.
[4] Lee EU, Lim HC, Lee JS , et al. Delayed intentional replantation of periodontally hopeless teeth: a retrospective study[J]. J Periodontal Implant Sci, 2014,44(1):13-19.
[5] Cho SY, Lee SJ, Kim E . Clinical outcomes after intentional replantation of periodontally involved teeth[J]. J Endod, 2017,43(4):550-555.
[6] Ryana HK, Srinath R ,Prakash S.Surgical re-entry of an intentionally replanted periodontally compromised tooth treated with platelet rich fibrin(PRF): hopeless to hopeful[J]. J Clin Diagn Res, 2016, 10(6): ZD01-ZD04.
[7] Keceli HG, Hendek MK . Fifteen months follow-up of a hopeless tooth treated with two-step procedure involving intentional replantation and free gingival graft[J]. Eur J Dent, 2014,8(4):559-562.
[8] Nagappa G, Aspalli S, Devanoorkar A , et al. Intentional replantation of periodontally compromised hopeless tooth[J]. J Indian Soc Periodontol, 2013,17(5):665-669.
[9] Torabinejad M, Dinsbach NA, Turman M , et al. Survival of intentionally replanted teeth and implant-supported single crowns: a systematic review[J]. J Endod, 2015,41(7):992-998.
[10] Andreasen JO. 牙齿外伤手册[M]. 葛立宏,译. 2版. 北京: 人民卫生出版社, 2006: 50-70.
Andreasen JO. Traumstic dental injuries: a manual [M]. Ge LH, tran. 2nd ed. Beijing: People’s Medical Publishing House, 2006: 50-70.
[11] Andreasen JO . Periodontal healing after replantation and autotransplantation of incisors in monkeys[J]. Int J Oral Surg, 1981,10(1):54-61.
[12] Andreasen JO . Analysis of pathogenesis and topography of replacement root resorption (ankylosis) after replantation of mature permanent incisors in monkeys[J]. Swed Dent J, 1980,4(6):231-240.
[13] Isaacson RJ, Strauss RA, Bridges-Poquis A , et al. Moving an ankylosed central incisor using orthodontics, surgery and distraction osteogenesis[J]. Angle Orthod, 2001,71(5):411-418.
[14] Andersson L, Blomlöf L, Lindskog S , et al. Tooth ankylosis. Clinical, radiographic and histological assessments[J]. Int J Oral Surg, 1984,13(5):423-431.
[15] Gargiulo AW, Wentz FM, Orban B . Dimensions and relations of the dentogingival junction in humans[J]. J Periodontol, 1961,32(3):261-267.
[16] Andreasen J . The effect of excessive occlusal trauma upon periodontal healing after replantation of mature permanent incisors in monkeys[J]. Swed Dent J, 1981,5(3):115-122.
[17] Andreasen JO . A time-related study of periodontal healing and root resorption activity after replantation of mature permanent incisors in monkeys[J]. Swed Dent J, 1980,4(3):101-110.
[18] Andreasen JO . The effect of splinting upon periodontal healing after replantation of permanent incisors in monkeys[J]. Acta Odontol Scand, 1975,33(6):313-323.
[19] Andreasen JO . The effect of pulp extirpation or root canal treatment on periodontal healing after replantation of permanent incisors in monkeys[J]. J Endod, 1981,7(6):245-252.
[20] 周宏志 . 自体牙移植的研究进展及临床应用[J/CD]. 中华临床医师杂志(电子版), 2013,7(10):4177-4180.
Zhou HZ . Research progress and clinical application of autogenous tooth transplantation[J/CD]. Chin J Clinicians (Electr Ed), 2013,7(10):4177-4180.
[21] Sapir S, Shapira J . Decoronation for the management of an ankylosed young permanent tooth[J]. Dent Traumatol, 2008,24(1):131-135.
[22] Wang F, Li Q, Wang Z . A comparative study of the effect of Bio-Oss ® in combination with concentrated growth factors or bone marrow-derived mesenchymal stem cells in canine sinus grafting [J]. J Oral Pathol Med, 2017,46(7):528-536.
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[9] . [J]. Foreign Med Sci: Stomatol, 2004, 31(02): 126 -128 .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .