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KMID : 1004520190350020098
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Journal of Dental Rehabilitation and Applied Science
2019 Volume.35 No. 2 p.98 ~ p.104
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Treatment of a tooth with severe periodontal involvement using intentional replantation: case report
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Choi Yoon-Kyung
Jung Kyoung-Hwa
Lee Ju-Youn
Joo Ji-Young
Kim Hyun-Joo
Kwon Eun-Young
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Abstract
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Although intentional replantation is frequently used as a treatment modality for endodontic problems, severe periodontal involvement has usually been regarded as a contraindication. However, there are some studies suggesting that intentional replantation could be a successful treatment alternative for periodontally involved teeth. This paper reports the treatment of a tooth with severe periodontal involvement using intentional replantation. The tooth, which had had root canal therapy due to endodontic-periodontal combined lesion but showed extensive bone loss, was gently extracted and replanted after thorough debridement of the root surface. By intentional replantation, a tooth with severe periodontal involvement in this case could be preserved, without extraction, over the course of a 3-year follow-up period.
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KEYWORD
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alveolar bone loss, periodontal attachment loss, periodontal diseases, root canal therapy, tooth replantation
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