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Intentional replantation - a clinical review of cases undertaken at a major UK dental school

British Dental Journal volume 229, pages 230–238 (2020)Cite this article

Abstract

Introduction Intentional replantation (IR) may offer a solution for persistent periapical lesions associated with endodontically treated teeth in select cases. This case series demonstrates the use of IR as an alternative treatment approach to both orthograde and surgical endodontic retreatment. The indications, contraindications, benefits and risks of IR are discussed, and the clinical procedure is outlined.

Setting Restorative Department, University Dental Hospital of Manchester, UK.

Case reports Of the 13 cases presented, the follow-up period before discharge ranged from 3-28 months. Only one tooth which presented intra-operative challenges required extraction three months after IR due to post-operative mobility.

Conclusion In select cases, IR may provide a simple, less invasive and cost-effective alternative to both endodontic retreatment and extraction alone following appropriate training.

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Authors and Affiliations

  1. Senior Lecturer/Honorary Consultant, University of Manchester, UK

    Joanne Cunliffe

  2. Speciality Registrar in Restorative Dentistry, King’s College Hospital and William Harvey Hospital, UK

    Khawer Ayub

  3. Consultant and Honorary Lecturer in Restorative Dentistry, University Dental Hospital of Manchester, UK

    James Darcey

  4. Academic Clinical Fellow in Restorative Dentistry, University of Manchester, UK

    Emma Foster-Thomas

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  1. Joanne Cunliffe
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  2. Khawer Ayub
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  3. James Darcey
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Correspondence to Joanne Cunliffe.

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Cunliffe, J., Ayub, K., Darcey, J. et al. Intentional replantation - a clinical review of cases undertaken at a major UK dental school. Br Dent J 229, 230–238 (2020). https://doi.org/10.1038/s41415-020-1988-6

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