Replantation of Mandibular Molar showing Internal Resorption – Discuss Dentistry

Re: Replantation of Mandibular Molar showing Internal Resorption

Sun, 10 Apr 2011 00:45:26 +0000

excellent case presentation and paper. keep it up

regards,

veeren

Re: Replantation of Mandibular Molar showing Internal Resorption

sushantpatel_doc — Sun, 10 Apr 2011 00:50:19 +0000

OBJECTIVE: The aim of the study was to investigate the healing results of teeth replanted or transplanted in different indications and treated by extraoral root canal therapy.

STUDY DESIGN: Extraoral root canal treatment was performed from a retrograde direction with posts made of ceramics or titanium. Preoperatively, the pulp status was classified as definitely infected (n = 47) or not infected/symptomless (n = 78), and the condition of the periodontal ligament (PDL) was classified as damaged (n = 50) or not damaged (n = 75) according to trauma type and extraoral storage. The healing after replantation or transplantation was diagnosed as functional, ankylosis, or infection depending on clinical and radiographic findings.

RESULTS: In total, 125 teeth in 99 patients were replanted or transplanted. Mean observation period was 44.4 months. Teeth with a less damaged PDL in no case exhibited ankylosis/replacement resorption after a mean observation period of 53 months. Teeth without preoperative infection of the pulp in no case showed infection-related complications after a mean observation period of 30 months. Teeth classified as definitely infected before treatment had a high frequency of continuous periradicular bone and root resorption.

CONCLUSIONS: The extraoral insertion of posts appeared to inflict no additional damage to the PDL that was clinically relevant. Infection-related complications were prevented. Teeth that were classified as definitely infected at the time of treatment had a low rate of healing and should undergo conventional root canal disinfection before this surgical procedure is applied.

Re: Replantation of Mandibular Molar showing Internal Resorption

Sun, 10 Apr 2011 10:44:12 +0000

This is an excellent case and very well done and very impressive….however i wanted to know 1)statistically out of the cases done by elective replantation, how many were repoorted to be successful?

2)What is preferred while splinting in terms of strength and better results—-composite splints or stainless steel?

3)Where can one read more on this topic..any particular book or journal..in terms of studying it theorotically?

4)Splinting methods?

5)Since the procedure is a delicate one a high level of disinfection needs to be followed…could you please elaborate on it? As in what extra care needs to be taken while handling the tooth extra-orally?

Re: Replantation of Mandibular Molar showing Internal Resorption

drrajvanshi — Wed, 18 May 2011 11:29:46 +0000

In my practice I have replanted nearly 500 Teeth after Extra Oral endodontics. I have my (records in detail) my PC and wish that someone takes interest in analysing them. Data are available with Pre and post and follow up X-rays of all subjects. The results are highly encouraging. I had presented papers in 3rd. Commonwealth Congress at Delhi in the year 2000 and at FDI in 2004.

If really interested please write me : dentalraj@gmail.com. Ph: 09413366810.

Dr.S.K.Rajvanshi

Re: Replantation of Mandibular Molar showing Internal Resorption

Thu, 19 May 2011 10:47:30 +0000

Its really great work that you are doing we would like you to upload more of your documented cases on our site