Guided intentional replantation of a mandibular premolar with type IIIIb dens invaginatus associated with peri-invagination periodontitis without root canal treatment- A case report.

Sans, Francesc Abella, Garcia-Font, Marc, Suresh, Nandini, Dummer, Paul M.H. ORCID: https://orcid.org/0000-0002-0726-7467 and Nagendrababu, Venkateshbabu 2024. Guided intentional replantation of a mandibular premolar with type IIIIb dens invaginatus associated with peri-invagination periodontitis without root canal treatment- A case report. Journal of Endodontics 10.1016/j.joen.2024.12.017 Item availability restricted.

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Abstract

This report highlights successful management of a rare case of a mandibular premolar with Oehler's Type IIIb Dens Invaginatus (DI) and peri-invagination periodontitis with guided intentional replantation (IR) without root canal treatment. A 22-year-old female patient reported with discomfort and a sinus tract associated with tooth #21. Clinical examination and cone beam computed tomography revealed tooth #21 had an Oehler's Type IIIb DI with peri-invagination periodontitis. The patient had partially healed sockets in the #19 and # 30 regions. Thus, guided IR for tooth #21 and guided double autotransplantation in the position of teeth #19 and #30 in a single visit was planned. 3D replicas of the donor teeth (#16 and #32) as well as #21 with type IIIb DI were printed based on intra-oral scanning and CBCT images. Tooth #21 was extracted with its buccal cortical plate and root-end resection followed by root-end filling with mineral trioxide aggregate was performed. The tooth was replanted into the modified socket, and stabilized using a flexible wire-composite splint for 4 weeks. Unfortunately, the patient was lost to follow-up, but reported 2 years later when all teeth were retained without signs of disease. Two years following international replantation without root canal treatment, tooth #21 with an Oehler's Type IIIb DI with peri-invagination periodontitis had no symptoms and radiographic examination revealed a reduction in the dimensions of the peri-invagination periodontitis. [Abstract copyright: Copyright © 2024. Published by Elsevier Inc.]

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Dentistry
Publisher:	Elsevier
ISSN:	0099-2399
Date of First Compliant Deposit:	21 January 2025
Date of Acceptance:	23 December 2024
Last Modified:	21 Jan 2025 13:15
URI:	https://orca.cardiff.ac.uk/id/eprint/175400

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