19/06/2024
30 y.o patient came to our clinic for a second opinion. She had provoked pain on bitting and constant bleeding on the mesial side on tooth 11. Probing depth MB 4mm, MP 7 mm.
History of ECR treatment.
Diagnosis and classification: ECR 2nd Class Heithersay and 2BP Patel
Treatment options: External approach, combined approach, intentional replantation, extraction and implant.
Due to positive probing and portal of entry, monitoring was not an option. Surgical approach would have been very challenging from the technical point of view.
Treatment performed: Intentional Replantation
Pre-splinting applied before the atraumatic extraction followed by cleaning of the granulation tissue and direct restoration extraorally. The PDL was hydrated with NaCL 0.9 % during the restorative procedure. Splinting was performed for 2 weeks while retro preparation of the apex was avoided. Direct restoration was scheduled 3 weeks after the procedure.
Prognosis questionable.
Follow up 4 months:
Clinically: physiological probing depth, no symptoms, no early signs of replacement resorption on percussion.
Periapical radiography: PDL visible along the root, no early signs of replacement resorption neither progressive signs of active external cervical resorption.
https://www.youtube.com/watch?v=tIPOFuy3Hbg&t=305s
Don't forget to sign up for our full day course on autotransplantation with Prof. Francesc Abella on 14 of September this year.
https://dentalacademy.bg/welcome-to-the-future-of-autotransplantation/
30 y.o patient came to our clinic for a second opinion. She had provoked pain on bitting and constant bleeding on the mesial side on tooth 11. Probing depth...