A 5 Year Follow Up of Intentionally Replanted Tooth- A Case Report

Abstract

Intentional replantation can be an alternative choice and to restore an original tooth to function in the mouth instead of replacing it with prosthesis. This case report describes intentional replantation of a maxillary first premolar and its 5 year follow up. A 42-year old woman with the chief complaint of pain and swelling in her gums in the upper right premolar area. Direct digital radiograph revealed the presence of a vertical fracture line with respect to the right maxillary first premolar, extending from the cementoenamel junction (CEJ) to the middle-third of the root, along with large periapical radiolucency. In view of the patient’s objection to undergo surgery, intentional replantation was suggested as an alternative. The patient returned for clinical and radiographic follow-up at 1, 5 months and 1 year and 5 years. At the last visit, after 5 years, no pain and symptoms and normal appearance of periradicular area was evident.