Intentional replantation for the management of an external cervical root resorption: a case report


Submitted: 28 May 2023
Accepted: 14 August 2023
Published: 2 October 2023
Abstract Views: 566
PDF: 151
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Authors

  • Paolo Bertoletti Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy.
  • Matteo Salvadori Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy.
  • Jacopo Francinelli Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy.
  • Riccardo Tonini Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy.
  • Stefano Gaffuri Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy.
  • Stefano Salgarello Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy. https://orcid.org/0000-0001-6558-9141

Aim: To present the operative procedures carried out to manage a case of external cervical root resorption with pulp tissue involvement via endodontic treatment and intentional replantation, and the related clinical results obtained up to an 18-months follow-up.

Summary: After accurate clinical and radiographic evaluations, a diagnosis of external cervical root resorption has been established for the second maxillary right molar of a 27-year-old male patient. The patient referred chewing pain started about one year before. Through the signature of an informed consent, the patient has undergone root canal treatment of the element, followed by atraumatic extraction, resorption management and intentional replantation procedures. The tooth has been splinted for 14 days with the adjacent first molar, and after the healing period, it showed an adequate stability; moreover, no symptoms have been referred by the patient.
The follow-up visits carried out after 3, 6, 12 and 18 months from clinical procedures confirmed the successful outcome of the treatment, as no recurrence, mobility or symptoms associated with the element have been currently reported.

Key learning points

  • 3D image acquisition represents an essential tool to diagnose external cervical resorptions and to accurately determine the position and the extension of the defect. Moreover, it allows a better operative planification which in turn is useful to define the most suitable approach for the single case.
  • CBCT scan and the use of dental operating microscope considerably increase the accuracy of diagnostic, endodontic and conservative procedures.
  • Intentional replantation should represent an effective therapeutic option for the management of deep external cervical root resorption.

Bertoletti, P., Salvadori, M., Francinelli, J., Tonini, R., Gaffuri, S., & Salgarello, S. (2023). Intentional replantation for the management of an external cervical root resorption: a case report. Giornale Italiano Di Endodonzia, 37(2). https://doi.org/10.32067/GIE.2023.37.01.20

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