(TC58) Intentional Replantation: An Alternative Treatment Modality for Teeth Inaccessible to Traditional Apical Surgery

Intentional replantation is defined as the deliberate extraction of a tooth and after evaluation of the root surfaces, endodontic manipulation and repair, and replacement back into its original position in the socket. It is indicated in permanent teeth having compatible anatomy allowing atraumatic extraction but is otherwise not accessible for tradition apical surgery. The purpose of this table clinic is to present a unique case involving the successful intentional replantation of a maxillary second molar. The patient presented with a previously root canal treated #15 and chronic apical abscess. The previous root canal treatment had been completed one year prior, and CBCT evaluation suggested adequate obturation of four canal spaces joining at the apex. The root apices were inaccessible to treat through traditional apicoectomy, and the root morphology was ideal to proceed with intentional replantation. The tooth was extracted, inspected for fractures, had an apicoectomy and retro fillings placed, and replanted successfully in less than 15 minutes. Two and 11-month follow-up visits showed successful healing and stability. Intentional replantation is a viable treatment option for some teeth when recurrent endodontic disease, not treatable by other means, is present.