West China Journal of Stomatology ›› 2023, Vol. 41 ›› Issue (4): 471-477.doi: 10.7518/hxkq.2023.2022487

• Case Report • Previous Articles     Next Articles

Intentional replantation for the retreatment of mandibular second molar: a case report

Cai Meijuan1(), Xiang Shaowen1, Xie Chengjie2, Ouyang Chuhong1, Tong Fangli1()   

  1. 1.Dept. of Endodontics, Panfu Branch of Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou 510280, China
    2.Dept. of Periodontics, Haizhu Square Branch of Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou 510280, China
  • Received:2022-12-08 Revised:2023-05-16 Online:2023-08-01 Published:2023-07-21
  • Contact: Tong Fangli E-mail:lexicmj@163.com;tongfl0710@163.com
  • Supported by:
    The Medical Science and Technology Foundation of Guangdong Province(A2021180);Correspondence: Tong Fangli, E-mail: tongfl0710@163.com

Abstract:

When the use of root canal retreatment and apical surgery experiences difficulty in treating endodontic diseases, intentional replantation is an optional clinical technique used to retain the tooth. A 28-year-old female complained of chewing discomfort at the mandibular second molar after undergoing root canal treatment 3 month ago. History record and radiographic examination revealed that a C-shaped root canal system was filled with gutta-percha in the mandibular second molar. A radiolucency area existed at the root furcal area with a thin canal wall in the distal and mesial roots. Intentional replantation was used to treat this tooth. The clinical and radiographic results showed that intentional replantation and nano-biomaterial application facilitated infection control, tooth retention, and periodontal tissue regeneration.

Key words: intentional replantation, mandibular second molar, disease after root canal treatment

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