Journal of Clinical and Experimental Dentistry最新文献

{"title":"Evaluation of the effect of gallic acid dentin treatment on the shear bond strength of the composite resin by using universal adhesive, in self-etch and total-etch strategies.","authors":"Saeedreza Ghanbarian, Farahnaz Sharafeddin, Hajar Farhadpour","doi":"10.4317/jced.62882","DOIUrl":"10.4317/jced.62882","url":null,"abstract":"<p><strong>Background: </strong>Gallic acid (GA), as a material with potentially beneficial effects in dentistry, was used in this study to investigate whether it affects the shear bond strength of composite to the dentin via self-etch and total-etch strategies of a universal adhesive.</p><p><strong>Material and methods: </strong>Sixty intact molars with sectioned flat occlusal surfaces were treated with 1 wt.% and 2 wt.% GA solution before applying the universal adhesive in self-etch and total-etch modes. They were randomly divided into six groups (n=10): 1) self-etch control, 2) total-etch control, 3) 1% GA + self-etch, 4) 2% GA + self-etch, 5) 1% GA + total-etch, and 6) 2% GA + total-etch. Teflon molds were fixed on the prepared dentin surface, and then the composite was inserted into the molds and light cured. After spending 24 hours in a storage condition with 100% humidity at room temperature, specimens underwent the SBS test. The SBS values calculated by the universal testing machine were analyzed using ANOVA and Tukey's post hoc tests (<i>p</i>< 0.05).</p><p><strong>Results: </strong>The application of 1% and 2% GA before using the universal adhesive revealed a significant increase in the mean SBS values compared to respective control groups (<i>p</i>< 0.001, <i>p</i>< 0.001), and the mean values for 1% GA were significantly higher than 2% GA in both etching strategies (<i>p</i>< 0.001, <i>p</i>< 0.001). The groups that utilized the universal adhesive with the total-etch method exhibited statistically higher SBS values than those using the self-etch approach, irrespective of applying GA and its concentration (<i>p</i>< 0.001).</p><p><strong>Conclusions: </strong>Applying 1% and 2% GA improved the shear bond strength of composite resin to the dentin in both self-etch and total-etch approaches with the universal adhesive. These findings indicate that GA holds great potential for expanded clinical applications. <b>Key words:</b>Gallic acid, shear bond strength, universal adhesive.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e796-e804"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"The Safety Check\": A simple and reproducible intraoperative test to support surgeons in training during ALT flap harvesting.","authors":"Íñigo Aragón-Niño, Hailong Ma, Yue He","doi":"10.4317/jced.62883","DOIUrl":"10.4317/jced.62883","url":null,"abstract":"<p><p>The anterolateral thigh (ALT) flap is widely used in reconstructive surgery due to its versatility and favorable donor site characteristics. However, its harvest remains technically challenging, primarily due to the anatomical variability of the perforators. Experienced surgeons make intraoperative decisions based on anatomical knowledge, tactile feedback, and visual cues, but these skills may be underdeveloped in surgeons in training, increasing the risk of complications. To address this issue, we present \"The Safety Check,\" a simple and reproducible intraoperative test designed to assist trainees in decision-making during ALT flap harvest. This method is based on the visual assessment of arterial pulsatility along the course of perforators and the pedicle, formalizing a step that is often intuitive for experienced surgeons. The technique was applied in 52 cases over a 6-month period, with perforators monitored in three phases: before dissection, during dissection, and after dissection until flap elevation. Preliminary results showed that \"The Safety Check\" improved trainee confidence, facilitated the early identification of compromised perforators, and increased surgical efficiency without adding significant time to the procedure. Additionally, the method served as an educational tool, fostering active learning and intraoperative discussions. While no quantitative data were collected, qualitative feedback supported its value as an adjunct to training in perforator flap techniques. <b>Key words:</b>Perforator flap, Microsurgery training, Intraoperative technique, Flap harvesting, Surgical education.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e871-e873"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positional Changes of the Maxillary Permanent Canines After Treatment with Facemask and Hyrax: A retrospective cohort study.","authors":"Jenny Angélica Saldarriaga-Valencia, Adriana Santamaria V, Emery Álvarez-Varela, Luisa Fernanda Villegas-Trujillo, Iván Jiménez, Ruben Darío Manrique-Hernández, Carlos M Ardila, Ary Dos Santos-Pinto","doi":"10.4317/jced.62861","DOIUrl":"10.4317/jced.62861","url":null,"abstract":"<p><strong>Background: </strong>Early treatment of Class III malocclusion in growing patients remains a significant orthodontic challenge due to unfavorable growth patterns. This study evaluates the positional changes of the maxillary permanent canines (Mx3) and the first maxillary permanent molars (Mx6) after early treatment of Class III malocclusion with maxillary expansion and protraction (MEP).</p><p><strong>Material and methods: </strong>A retrospective cohort study was conducted, including a longitudinal and panoramic radiographic (panorex) analysis. Forty-one Class III patients with maxillary hypoplasia (25 females, 16 males) treated in mixed dentition with MEP were compared to an untreated control group of 41 patients (23 females, 18 males). Positional changes of Mx3 were assessed using panorex. Angulation and sectional location of Mx3 were classified according to Power & Short (PS), the Lindauer modification of Ericson & Kurol (L), and Warford (W).</p><p><strong>Results: </strong>No statistically significant differences were found in the PS and W analyses or in the height of Mx3 between the initial and final evaluations. The L analysis indicated that most Mx3 were located in sectors I and II. Some Mx3 in sector II progressed toward sector I. No Mx3 in the treated group had a poor prognosis, compared to only 3.7% in the control group. Most Mx3 maintained their L prognosis, with improvement observed in 22% of the control group and 29.3% of the treated group. The majority of Mx3 in the final evaluation had a favorable prognosis.</p><p><strong>Conclusions: </strong>The results indicate that MEP treatment does not cause unfavorable positional changes in Mx3 or Mx6 in these patients. <b>Key words:</b>Malocclusion, Angle Class III, Palatal Expansion Technique, Extraoral Traction Appliances, Child, Maxillary Permanent Canine, Diagnosis.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e787-e795"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of hyperdivergent facial pattern and the inclination of the occlusal plane in orthodontic patients: A cross-sectional study.","authors":"Marco Sánchez-Tito, Jorge Melgar-Gutiérrez, Ailín Cabrera-Matta","doi":"10.4317/jced.62910","DOIUrl":"10.4317/jced.62910","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the association between the hyperdivergent facial pattern and occlusal plane inclination in patients undergoing orthodontic treatment.</p><p><strong>Material and methods: </strong>A retrospective cross-sectional study was conducted using records from patients who attended an orthodontic consultation at a specialized clinic in Tacna, Peru, between July 1, 2022, and August 31, 2023. Occlusal plane inclination was measured on lateral cephalometric radiographs following Andrews' guidelines. Cephalometric analysis was performed using the OneCeph application. The vertical facial pattern was determined by the Frankfurt-Mandibular Plane Angle (FMA). A multiple linear regression analysis with robust variance was used to assess associations, considering <i>p</i>-values < 0.05 as statistically significant.</p><p><strong>Results: </strong>Occlusal plane inclination was significantly associated with vertical facial pattern (<i>p</i>< 0.001), with hyperdivergent individuals showing the greatest inclination. Additional significant correlations were observed with facial angle, convexity angle (<i>p</i>< 0.001), lower anterior facial height (<i>p</i> = 0.012), overjet (<i>p</i> = 0.042), and skeletal relationship (<i>p</i> = 0.013). Multiple regression confirmed greater occlusal plane inclination in hyperdivergent individuals compared to normodivergent (β = 2.15°, <i>p</i>< 0.001) and hypodivergent (β = 2.75°, <i>p</i>< 0.001) patterns.</p><p><strong>Conclusions: </strong>The hyperdivergent facial pattern was significantly associated with increased occlusal plane inclination, underscoring the importance of considering vertical growth patterns during orthodontic diagnosis and treatment planning. <b>Key words:</b>Vertical facial pattern, Occlusal plane, Hyperdivergent.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e816-e824"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgery with leukocyte and platelet-rich fibrin (L-PRF) vs. surgery alone for medication-related osteonecrosis of the jaw: A randomized controlled trial.","authors":"Emilio Andres Ramos, Juan Manuel Muiño, Maximiliano Diamante, Alejo Echagüe, Sebastian Ariel Puia, Diego Caruso","doi":"10.4317/jced.62824","DOIUrl":"10.4317/jced.62824","url":null,"abstract":"<p><strong>Background: </strong>Multiple studies have reported high resolution rates of medication-related osteonecrosis of the jaw (MRONJ) with surgical treatment combined with platelet concentrates. However, no randomized controlled trials have been published to date comparing surgery combined with L-PRF to surgery alone.</p><p><strong>Material and methods: </strong>We conducted a multicenter, open-label, parallel-group, randomized controlled trial to assess the effect of leukocyte- and platelet-rich fibrin (L-PRF) as an adjunct to surgery for the treatment MRONJ. Patients were randomly assigned to either surgery combined with L-PRF or surgery alone. The primary outcome was the proportion of patients achieving complete resolution of MRONJ lesions six months postoperatively. Complete resolution rates were compared using the chi-square (X²) test, and relative risk (RR) with 95% confidence intervals (CI) was calculated. Secondarily, we evaluated baseline quality of life using the EQ-5D-3L questionnaire and assessed the impact of L-PRF on quality-of-life measures.</p><p><strong>Results: </strong>A total of 41 participants were included in the study. Nineteen participants underwent surgery with L-PRF, while 22 underwent surgery alone. At the six-month follow-up, complete resolution was observed in 92% (11/12) of patients in the experimental group and 83% (15/18) in the control group (RR 1.1, 95% CI 0.84-1.43, <i>p</i>=0.51). The most affected domains in the baseline quality-of-life assessment were anxiety/depression and pain/discomfort. No statistically significant differences were observed between groups in any quality-of-life domain at six months.</p><p><strong>Conclusions: </strong>Our findings suggest that the use of L-PRF as an adjunct to surgery does not provide a significant clinical benefit compared to surgery alone. <b>Key words:</b>Platelet-rich fibrin, quality of life, osteonecrosis, randomized controlled trial.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e756-e763"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of EDTA and silane on the bond strength of cementing agents of glass fiber posts to root dentin.","authors":"Renata de Freitas Campelo, José Evando da Silva-Filho, Ana Paula Caracas-de-Araújo, Mário Fernando de Góes, Vicente de Paulo Aragão Saboia, Polyanna Maria Rocha Novais, Eduardo Diogo Gurgel-Filho","doi":"10.4317/jced.62838","DOIUrl":"10.4317/jced.62838","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effect of dentin pre-treatment with EDTA and silanization of glass fiber posts on the bond strength of different resin cements to root dentin.</p><p><strong>Material and methods: </strong>Fifty-six extracted single-rooted human teeth received endodontic treatment and were restored with White Post DC (FGM) 0.5 fiber posts. Samples were divided into four groups: (1) Relyx U200 without EDTA, (2) Relyx U200 with EDTA, (3) Relyx ARC without EDTA, and (4) Relyx ARC with EDTA. Each group had a silane-treated subgroup (n=7). Root canals were prepared with Peeso reamer No. 3, leaving 4 mm of filling. Posts were cleaned with absolute alcohol (1 min) and air-dried (30 s). Silane was applied to half the posts for 60 s, then air-dried for 30 s. Specimens were mounted on acrylic plates with low-melting adhesive and sectioned using an Isomet saw (200 rpm, constant irrigation) and extra-fine diamond disc. Three slices (~1.5 mm thick) were obtained per tooth (coronal, middle, apical thirds). Thickness was measured with a digital caliper. Slices were positioned cervical side down in a 3.5 mm support matrix. A force was applied at 0.5 mm/min using a rod with a 0.8 mm extra-fine tip. Data were analyzed using Kolmogorov-Smirnov and Student's t-tests.</p><p><strong>Results: </strong>Relyx ARC showed higher bond strength than Relyx U200, regardless of silane or EDTA use. The combination of silane and EDTA did not significantly affect results (Relyx U200 <i>p</i>=0.402; Relyx ARC <i>p</i>=0.510). Adhesive failure at the cement/dentin interface occurred in 51.61% of all samples, regardless of technique.</p><p><strong>Conclusions: </strong>EDTA and/or silane did not influence the bond strength of fiber posts to root dentin. <b>Key words:</b>Bond Strength, Edetic Acid, Fiber-posts, Endodontics.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e771-e778"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of External Root Resorption following Replantation After Accidental Tooth Extraction Using Regenerative Endodontic Procedures: A Case Report.","authors":"Hong Van Le, Thai Son Vu, Ngoc Linh Chi Nguyen, Kim Nha Le","doi":"10.4317/jced.62832","DOIUrl":"10.4317/jced.62832","url":null,"abstract":"<p><p>Accidental extraction of the wrong tooth can lead to complications such as external root resorption (ERR) after replantation. This case report describes the management of an 11-year-old female patient with ERR in a replanted mandibular first molar (#36) following iatrogenic extraction. Regenerative endodontic procedures (REPs) were employed, including chemical disinfection, intracanal calcium hydroxide medication, blood clot induction, and the placement of Biodentine™. Follow-up over 24 months showed resolution of clinical symptoms, arrest of root resorption, healing of periapical lesions, and complete apical closure. Cold pulp testing yielded positive results after 12 months, confirming regenerative response. This case highlights the potential of REPs as a biologically based approach for managing complex endodontic conditions involving root resorption, even in mature permanent teeth. It contributes to the growing body of evidence supporting REPs as a viable option in the treatment of tooth avulsion. <b>Key words:</b>External Root Resorption, Regenerative Endodontic Procedures, Accidental Tooth Extraction.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e878-e883"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Manifestations in the Maxillofacial Region of Acute Crisis of Sickle Cell Anemia: A Case Report.","authors":"Martín Andura-Correas, Guillermo Chacón-Ferrer, Eduardo Vázquez-Salgueiro, Luis Ortiz-Peces, Álvaro Damián Moreiras-Sánchez, Jorge Noguera-Tomás, José Luis Cebrián-Carretero","doi":"10.4317/jced.62933","DOIUrl":"10.4317/jced.62933","url":null,"abstract":"<p><p>Sickle cell anemia, or sickle cell disease, is a hematologic condition commonly found in populations from the Middle East, India, the Caribbean, and the Mediterranean. One of its complications is the development of long bone osteomyelitis. However, mandibular bone involvement is rare, which makes early diagnosis of this disease difficult when it affects this anatomical region. In this article, we present the case of a 25-year-old male with a prior diagnosis of sickle cell anemia who developed mandibular osteomyelitis associated with a paramandibular abscess and ipsilateral temporomandibular joint involvement, which was diagnosed and treated medically and surgically. Through this case, we aim to provide clinical insight into mandibular infectious complications associated with sickle cell anemia, along with their diagnosis and therapeutic management. Multidisciplinary care, clinical evaluation, laboratory findings, and imaging studies are the main pillars for the management of this disease. Furthermore, we review the literature on the clinical presentation, diagnosis, and treatment of mandibular osteomyelitis in patients with sickle cell disease. <b>Key words:</b>Sickle cell anemia, mandibular osteomyelitis, Vascular Occlusion Crisis.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e867-e870"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dimensional stability of pet-g clear aligners with different thickness through cyclic compressive load tests: An <i>in vitro</i> study.","authors":"Mauro Lorusso, Michele Tepedino, Gianluca Rendina, Angela Pia Cazzolla, Fariba Esperouz, Lucio Lo Russo, Domenico Ciavarella","doi":"10.4317/jced.62842","DOIUrl":"10.4317/jced.62842","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this <i>in vitro</i> study was to evaluate the dimensional stability of PET-G clear aligners.</p><p><strong>Material and methods: </strong>Two starting passive aligners of different thicknesses (0.75 mm and 0.88 mm) were subjected to cyclic compressive loading tests using the Instron 3343 testing machine in the laboratory, both with and without saliva. The intermolar and intercanine distances, measured in the occlusal direction, and the intermolar and intercanine Facial Axis (FA) distances, calculated between the most vestibular points of the crowns defined as Facial Axis points, were recorded using the dedicated software 3Shape Orthoviewer. Finally, the aligners were scanned using a laboratory scanner (3Shape TRIOS®) and then compared with the untested aligners of the control group.</p><p><strong>Results: </strong>The 0.75-mm-thick aligners exhibited greater dimensional stability than the 0.88-mm-thick aligners when measuring intercanine distance, both with and without saliva. In contrast, the 0.88-mm-thick aligners demonstrated greater stability than the 0.75-mm-thick aligners when measuring intermolar distance under the same conditions. In the measurement of FA distances, higher values were observed at the molar level when the tests were conducted both with and without saliva, whereas no significant changes were observed in the intercanine distance.</p><p><strong>Conclusions: </strong>The 0.88-mm-thick aligners demonstrated better dimensional stability during tests with and without saliva in the intermolar distance, while the 0.75-mm-thick aligners showed better dimensional stability in the intercanine distance. <b>Key words:</b>Clear Aligners, PET-G, thickness, dimensional stability, cyclic compressive load tests.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e779-e786"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of a Periodontally Hopeless Tooth with Intentional Re-implantation.","authors":"Divya Konduri, Jagadish Reddy Gooty, Vikram Reddy Guntakandla, S Jaya Prada Reddy, Raja Babu Palaparthy, Juliet Josephin","doi":"10.4317/jced.61873","DOIUrl":"10.4317/jced.61873","url":null,"abstract":"<p><p>Intentional replantation is a process that involves purposeful tooth extraction and subsequent reinsertion of the removed tooth. Intentional replantation may be a therapeutic option worth considering to preserve the natural teeth and prevent tooth extraction, even though the success rate is not always high. Systemically healthy male patient was referred to our department. Diagnosis was chronic periodontitis and class III mobility was noted at the right maxillary central incisor with complete periodontal attachment loss. After phase I therapy periodontally involved tooth was extracted, endodontic treatment was accomplished, the tooth was replanted and stabilized with a composite wire splint. At the end of 3 years tooth was in function with alveolar bone gain. Intentional replantation provided long-term maintenance of patient's own teeth and can be considered as an alternative treatment option tooth with hopeless prognosis. <b>Key words:</b>Ankylosis, Chronic Periodontitis, Periodontal Attachment Loss, Root Resorption, Tooth Replantation, Tooth Extraction.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 7","pages":"e874-e877"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}