本病例系列旨在全面介绍有意再植,重点是其适应症和牙髓学中的病例选择。在所有代表案件中,富钙混合物(CEM)水泥用于根端填充。该病例系列显示了20例IR和口外根端切除并用CEM水泥填充。所有选定的牙齿都有失败的牙髓治疗,需要手术/非手术牙髓(再)治疗或拔除。温和拔牙后,准备了适当的根端腔,并用CEM水泥填充。然后重新种植牙齿;最长手术时间为15分钟。在平均15.5个月的随访期内,共有18例(90%)成功。可以得出结论,仔细选择病例的有意再植可以在2年内获得很高的成功率。只要提取简单直接,有意再植对于受过训练的全科医生和专家来说都是合适的治疗选择。
This
case series aims to comprehensively introduce intentional replantation with a focus on its indications and
case selection in endodontics. In all represented cases, calcium enriched mixture (CEM) cement is used for root-end filling. This
case series demonstrates twenty cases of IR and extraoral root-end resection and filling with CEM cement. All the selected teeth had a failed endodontic treatment and required surgical/nonsurgical endodontic (re)treatment or extraction. Subsequent to gentle tooth extraction, an appropriate root-end cavity was prepared and filled with CEM cement. Then the tooth was replanted; maximun procedure time was 15 min. A total of 18 cases (90%) were successful over a mean follow-up period of 15.5 months. It can be concluded that intentional replantation with careful
case selection can have a high success rate over 2 years. Intentional replantation may be a suitable treatment option for both trained general practitioners and specialists provided that the extraction is simple and straightforward.