Surgical Re-entry of an Intentionally Replanted Periodontally Compromised Tooth Treated with Platelet Rich Fibrin (PRF): Hopeless to Hopeful
Intentional replantation is generally contraindicated in periodontally compromised teeth however, there are reports suggesting that it can be a successful treatment alternative for periodontally involved hopeless teeth. Currently there is dearth of evidence regarding the success of this therapy, e...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7945/19245_CE(EK)_F(AK)_PF1(HNAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Intentional replantation is generally contraindicated in periodontally compromised teeth however, there are reports suggesting that it
can be a successful treatment alternative for periodontally involved hopeless teeth. Currently there is dearth of evidence regarding the
success of this therapy, especially evidence for the effectiveness of autologous platelet rich fibrin is lacking. We present a case report of a
23-year-old male patient with periodontally hopeless left maxillary central incisor having bone loss extending beyond root apex. The tooth
was gently extracted and replanted utilizing root conditioning and combined regenerative therapy (Xenograft, PRF and Type I Collagen
Membrane). Surgical re-entry at nine months revealed bone formation in the apical third of the tooth. At one year, 87% radiographic bone
gain was accomplished. The improvement in the clinical and radiographic parameters reinforced by the re-entry surgery findings strongly
suggest that intentional replantation may be a cost-effective substitute to implants and tooth supported prosthesis in situations where
conventional periodontal therapy would yield compromised outcomes. |
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| ISSN: | 2249-782X 0973-709X |