The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Treatment of pathologically migrated teeth via modified intentional replantation: cases report

변형된 의도적 재식술을 통한 병적 이동된 치아들의 치료: 증례보고

  • Kim, Hyun-Soo (Department of Periodontology, School of Dental Science, Chosun University) ;
  • Lee, Won-Pyo (Department of Periodontology, School of Dental Science, Chosun University) ;
  • Yu, Sang-Joun (Department of Periodontology, School of Dental Science, Chosun University) ;
  • Kim, Byung-Ock (Department of Periodontology, School of Dental Science, Chosun University)
  • 김현수 (조선대학교 치의학전문대학원 치주과학교실) ;
  • 이원표 (조선대학교 치의학전문대학원 치주과학교실) ;
  • 유상준 (조선대학교 치의학전문대학원 치주과학교실) ;
  • 김병옥 (조선대학교 치의학전문대학원 치주과학교실)
  • Received : 2016.04.29
  • Accepted : 2016.06.09
  • Published : 2016.08.01
Download PDF
⟨ Previous Next ⟩

Abstract

Pathologic tooth migration (PTM) caused by periodontal disease is a relatively common disease with a prevalance rate of 30~55%. It is one of the reasons for periodontal treatment of patients. PTM occurs when various factors related to the position of the tooth are altered and clinical features of PTM include facial flaring, diastema, proximal tilting, rotation, and extrusion of teeth. The purpose of this study was to assess the treatment of teeth of hopeless prognosis through the practice of modified intentional replantation on pathologic migrated tooth. This study presents cases using modified intentional replantation for the treatment of pathologic tooth migration caused by severe periodontitis. Modified intentional replantation is a technique that prepares extraction socket by using an implant drill. Based on 3 cases performed with modified intentional replantation, an improvement of clinical periodontal indicators such as probing pocket depth, bleeding on probing, tooth mobility, and pathologic teeth migration was observed after surgery. Also, the patients were satisfied with the functional and esthetic improvement.

Keywords

Acknowledgement

Supported by : 조선대학교 치과병원

References

  1. Brunsvold MA. Pathologic tooth migration. J Periodontol 2005;76:859-866. https://doi.org/10.1902/jop.2005.76.6.859
  2. Martinez-Canut P, Carrasquer A, Mag?n R, Lorca A. A study on factors associated with pathologic tooth migration. J Clin Periodontol 1997;24:492-497. https://doi.org/10.1111/j.1600-051X.1997.tb00217.x
  3. McGuire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol 1996; 67:666-674. https://doi.org/10.1902/jop.1996.67.7.666
  4. Sato S, Ujiie H, Ito K. Spontaneous correction of pathologic tooth migration and reduced infrabony pockets following nonsurgical periodontal therapy: a case report. Int J Periodontics Restorative Dent 2004;24:456-461. https://doi.org/10.11607/prd.00.0603
  5. Oh SL. An interdisciplinary treatment to manage pathologic tooth migration: a clinical report. J Prosthet Dent 2011;106:153-158. https://doi.org/10.1016/S0022-3913(11)60114-5
  6. Demiralp B, Nohut?u RM, Tepe DI, Eratalay K. Intentional replantation for periodontally involved hopeless teeth. Dent Traumatol 2003;19:45-51. https://doi.org/10.1034/j.1600-9657.2003.00084.x
  7. Lu DP. Intentional replantation of periodontally involved and endodontically mistreated tooth. Oral Surg Oral Med Oral Pathol 1986;61:508-513. https://doi.org/10.1016/0030-4220(86)90396-8
  8. Elgendy EA, Shoukeba MY, Abo-shady T, El Fahl BN. Re-implantation of hopeless tooth due to periodontal disease by using implant surgical drill: A case report study. Tanta Dental Journal 2013;10:112-115. https://doi.org/10.1016/j.tdj.2013.11.002
  9. Nagappa G, Aspalli S, Devanoorkar A, Shetty S, Parab P. Intentional replantation of periodontally compromised hopeless tooth. J Indian Soc Periodontol 2013; 17:665-669. https://doi.org/10.4103/0972-124X.119291
  10. Boyd RL. Enhancing the value of orthodontic treatment: incorporating effective preventive dentistry into treatment. Am J Orthod Dentofacial Orthop. 2000 117:601-603. https://doi.org/10.1016/S0889-5406(00)70214-9
  11. Kwok V, Caton JG. Commentary: prognosis revisited: a system for assigning periodontal prognosis. J Periodontol. 2007;78:2063-2071. https://doi.org/10.1902/jop.2007.070210
  12. Lekovic V, Camargo PM, Klokkevold PR, Weinlaender M, Kenney EB, Dimitrijevic B, Nedic M. Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol 1998;69:1044-1049. https://doi.org/10.1902/jop.1998.69.9.1044
  13. Hammarstr?m L, Bloml?f L, Lindskog S. Dynamics of dentoalveolar ankylosis and associated root resorption. Endod Dent Traumatol 1989;5:163-175. https://doi.org/10.1111/j.1600-9657.1989.tb00354.x
  14. Andreasen JO. Analysis of pathogenesis and topography of replacement root resorption (ankylosis) after replantation of mature permanent incisors in monkeys. Swed Dent J 1980;4:231-240.
  15. Lindskog S, Pierce AM, Blomlof L, Hammarstrom L. The role of the necrotic periodontal membrane in cementum resorption and ankylosis. Endod Dent Traumatol 1985;1:96-101. https://doi.org/10.1111/j.1600-9657.1985.tb00569.x
  16. Waerhaug J. Subgingival plaque and loss of attachment in periodontosis as evaluated on extracted teeth. J Periodontol 1977;48:125-130. https://doi.org/10.1902/jop.1977.48.3.125
  17. Noda K, Seshima F, Okubo N, Ishii Y, Ota M, Yamada S, Saito A. Effect of platelet-derived growth factor-BB on root resorption after reimplantation of partially denuded tooth in dog. Dent Traumatol. 2012;28:217-225. https://doi.org/10.1111/j.1600-9657.2011.01070.x
  18. Park JC, Kim JM, Jung IH, Kim JC, Choi SH, Cho KS, Kim CS. Isolation and characterization of human periodontal ligament (PDL) stem cells (PDLSCs) from the inflamed PDL tissue: in vitro and in vivo evaluations. J Clin Periodontol 2011;38:721-731. https://doi.org/10.1111/j.1600-051X.2011.01716.x
  19. Seo BM, Miura M, Gronthos S, Bartold PM, Batouli S, Brahim J, Young M, Robey PG, Wang CY, Shi S. Investigation of multipotent postnatal stem cells from human periodontal ligament. Lancet 2004;364:149-155. https://doi.org/10.1016/S0140-6736(04)16627-0
  20. Bartold PM, Xiao Y, Lyngstaadas SP, Paine ML, Snead ML. Principles and applications of cell delivery systems for periodontal regeneration. Periodontol 2000. 2006;41:123-135. https://doi.org/10.1111/j.1600-0757.2006.00156.x
  21. Tozum TF, Demiralp B. Platelet-rich plasma: a promising innovation in dentistry.J Can Dent Assoc. 2003;69:664a-664h.
  22. Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, Dohan AJ, Mouhyi J, Dohan DM. Platelet-rich fibrin (PRF): a secondgeneration platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:e56-60. https://doi.org/10.1016/j.tripleo.2005.07.011
  23. Crea A, Deli G, Littarru C, Lajolo C, Orgeas GV, Tatakis DN. Intrabony defects, open-flap debridement, and decortication: a randomized clinical trial. J Periodontol 2014;85:34-42. https://doi.org/10.1902/jop.2013.120753