SCHOLARLY REVIEW
Outcome of intentional replantation of endodontically treated teeth with periapical pathosis: A systematic review and meta-analysis
Faizan Javed BDS, FCPS,
Kamil Zafar BDS, FCPS,
Farhan R. Khan BDS, MS, MCPS, FCPS,
Faizan Javed BDS, FCPS
Operative Dentistry & Endodontics, The Aga Khan University, Karachi, Pakistan
Search for more papers by this authorKamil Zafar BDS, FCPS
Endodontics, Baqai Dental College, Karachi, Pakistan
Search for more papers by this authorCorresponding Author
Farhan R. Khan BDS, MS, MCPS, FCPS
Operative Dentistry & Endodontics, The Aga Khan University, Karachi, Pakistan
Correspondence
Farhan R. Khan, Operative Dentistry & Endodontics, Section of Dentistry, Department of Surgery, JHS Building 1st floor Dental Clinics, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi 74800, Pakistan.
Email: [email protected]
Search for more papers by this authorFaizan Javed BDS, FCPS,
Kamil Zafar BDS, FCPS,
Farhan R. Khan BDS, MS, MCPS, FCPS,
Faizan Javed BDS, FCPS
Operative Dentistry & Endodontics, The Aga Khan University, Karachi, Pakistan
Search for more papers by this authorKamil Zafar BDS, FCPS
Endodontics, Baqai Dental College, Karachi, Pakistan
Search for more papers by this authorCorresponding Author
Farhan R. Khan BDS, MS, MCPS, FCPS
Operative Dentistry & Endodontics, The Aga Khan University, Karachi, Pakistan
Correspondence
Farhan R. Khan, Operative Dentistry & Endodontics, Section of Dentistry, Department of Surgery, JHS Building 1st floor Dental Clinics, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi 74800, Pakistan.
Email: [email protected]
Search for more papers by this authorAbstract
The purpose of the present review was to examine success, survival and failure following intentional replantation of endodontically treated teeth with existing periapical pathosis and to determine the factors that might affect the outcome of replantation. Clinical trials, longitudinal studies, case series with >10 cases and at least 1-year follow-up were included. The average rate of success following intentional replantation was 77.23%. Meta-analysis revealed the mean weighted survival to be 85.9% (95% CI: 79.6–91.2) Common complications include inflammatory root resorption (0%–27%) and ankylosis (0%–25%). Variables influencing successful outcome include extra alveolar dry time <15 min; root-end resection (2–3 mm) and cavity preparation (3 mm); manipulation of the tooth using the crown only; and use of an appropriate storage media. The review concludes that intentional replantation is a viable treatment option with acceptable survival rates for endodontically treated teeth with periapical pathosis.
CONFLICT OF INTEREST
The authors deny any conflicts of interest.
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