Intentional Replantation for Treating Maxillary Sinusitis and Periodontally Compromised Tooth: A Report of 2 Cases
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Abstract
Objective: The purpose of this article is to demonstrate the successful outcome of intentional replantation treatment in two patients. Intentional replantation is a treatment of choice for treating periapical lesions in teeth that have previously undergone unsuccessful conventional endodontic therapy, especially when endodontic microsurgery is contraindicated.
Case Presentation: The first case revealed a successful intentional replantation for treating left maxillary sinusitis caused by the infection of the left maxillary first molar. A 1-year follow-up showed complete resolution of the left maxillary sinus and complete periapical bone formation at the palatal root. The second case described intentional replantation of a periodontally compromised tooth, and the 9-month follow-up clinically showed a decrease in probing depth along with new peri-radicular bone formation.
Conclusion: Intentional replantation can be used as an alternative treatment for maxillary sinusitis due to odontogenic origin and can be performed in teeth with concomitant periodontitis presenting a periodontal pocket depth of no more than 6 mm at a single site, with favorable treatment outcomes.
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