"Intentional Replantation: 5-Year Follow-Up Success" Intentional replantation is a surgical procedure designed for cases where conventional endodontic treatments fail or are not feasible. The technique involves the deliberate extraction of a tooth, extraoral inspection, repair of root surfaces, and replantation into its original socket. Its key indications include: * Failed nonsurgical root canal treatments. * Complex root resorptions or perforations. * Teeth with crown-root fractures or inaccessible anatomical defects. * Financial constraints preventing extensive treatments like implants. The procedure benefits from direct visual access to root surfaces for repairs while preserving natural dentition. However, success hinges on careful handling to protect the periodontal ligament (PDL) and minimize extraoral manipulation time, ideally under 15 minutes, to prevent resorption and ankylosis. Recent advancements, such as using materials like bioceramics and techniques like apical root resections and retrograde fillings, have improved outcomes. Systematic reviews report survival rates nearing 90%, making it a reliable and cost-effective alternative in select cases. This case, with a 5-year follow-up, showcases excellent periodontal healing, no signs of root resorption, and stable functionality—reinforcing the predictability of this approach when conventional options are unfeasible. Preserving natural dentition is our goal, even in the most challenging situations! 🦷✨ #IntentionalReplantation #Endodontics #ToothPreservation #LongTermSuccess
Hugo Sousa Dias’ Post
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Considering dental implants but unsure about the timeline? The duration of the procedure can vary depending on your individual case. Typically, it spans from six months to a year and includes initial consultations, preparatory procedures like bone grafting or sinus lifts, the implant placement itself, and the healing period before your final crown or bridge is added. Learn more about what to expect at https://lnkd.in/gHffiUPu #AdvancedDentistryOfScarsdale #ScarsdaleNY #DentalImplants
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Achieve optimal outcomes using the Porous implant, which offers a wide range of solutions for clinical cases with its adaptable design and features. -It suits diverse bone densities and anatomical configurations. -Well-suited for single-tooth replacement, multiple tooth restorations, and full arch treatments. - ideal for complex anatomical situations or compromised bone conditions. A porous implant with a pure surface, making it safe and compatible with any patient, allows for proper fusion with the jawbone, ensuring a stable and successful dental implant.
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📑Literature summary from “Diagnostic accuracy of 5 dental pulp tests: a systematic review and meta-analysis.” Journal of Endodontics, 44, 694-702, 2018. Mainkar, A., & Kim, S. G. 📑統合分析摘要整理:5種牙髓活性測試診斷準確度比較☺️ #Cold #Electric #Heat #Pulp #Testing #Vitality #LaserDopplerFlowmetry #PulseOximetry #Sensitivity #Specificity #Accuracy #Positive #Negative #Predictive #Value #EPT #ColdTest #HeatTest #Necrosis #Vital #Clinical #Examination #SystematicReview #MetaAnalysis
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The SHORT Case Of The Day! Tooth #4 - Horizontal Fracture Management Horizontal root fracture (HRF) is a complex traumatic dental injury that affects the pulp, dentin, cementum, and periodontal ligament. The occurance of HRF is about 7% of all dental trauma. The healing outcomes of HRF could be of five types: (i) healing by hard tissue formation; (ii) healing by connective tissue formation; (iii) healing with interposition of bone and connective tissue. Patient was referred from her dentist to evaluate a horizontal fracture on tooth #4. She had a trauma in 2015. The patient is asymptomatic. A 2D image was taken. It was difficult to locate the size of the fracture and to see if there was more damage taking place. A LFOV 3D CBCT was taken. The coronal slice show the fracture very definitively. Also the area was larger on the palatal aspect. Pulp testing was vital and within normal limits. There were no palpation, mobility, or percussion sensitivity. The tooth had very light occlusion. The treatment on this case was to simply monitor. The horizontal fracture has healed due to the vitality of the pulp. The healing of the fracture is with bone and connective tissue. Horizontal fractures from the midroot to the apical area have very high success rates. However, if they are in the coronal portion the success rate is poor. When managed properly using the clinical guidelines I discuss in my textbook, root fractures have shown a 10-year survival rate of 87%. This case has lasted almost 10 years without any endodontic intervention. #endodontickeysandcases #DrRicoShort #dentistry #trauma #horizontal #fracture #management #endodontics #rootcanal #cbct Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta
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i-reamers are designed with a single sharp edge that allows for controlled and precise enlargement of the osteotomy site. Operating at speeds below 40 rpm without the need for saline cooling, i-reamers offer a safe approach to managing sensitive areas like the mandibular nerve or maxillary sinuses. The tip reduces the risk of sinus membrane perforation while also aiding in sinus floor elevation. For shallow osteotomies or selective deepening, i-reamers provide an effective and reliable solution. In cases where low-density bone is present, i-reamers can be rotated anti-clockwise to condense the supporting bone, improving the stability of the implant. #ireamers #dentaltechnology #osteotomy #dentalimplants #precisiondentistry #oralhealth #dentalcare
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🦷 Anterior Corticobasal Implants for Immediate Loading 🦷 Excited to share a recent case where we utilized advanced anterior corticobasal implants for teeth #21 and #22, achieving immediate loading results! This technique is ideal for patients who want a swift, stable, and reliable solution, avoiding long waiting periods for healing. ✨ Why Corticobasal Implants? Corticobasal implants are designed to anchor directly into the basal bone, providing excellent primary stability even in cases with compromised bone quality. This makes immediate loading protocols not only possible but successful in a single visit. 💡 If you’re considering dental implants and want to avoid lengthy procedures, ask us about our immediate loading options! #DentalImplants #ImmediateLoading #CorticobasalImplants #UrbanSmile
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Some individuals experience bone loss as a result of periodontal disease. In other cases, if someone has lost teeth, their jaw undergoes resorption and loses density. A bone graft is a procedure that adds density and volume to the jaw by adding bone grafting material to weaker spots. After the bone graft, the jaw can be strong enough to securely support dental implants. Learn more about bone grafts at https://lnkd.in/gUBH5eSX. #MiyasakiDental #SacramentoCA #BoneGrafts
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Ti-oss - MORE NEW BONE than Bio-Oss®at 40% LESS COST. In a study at Korea University Dental Hospital, new cancellous bone was formed in the centre of Ti-oss-filled defects, whereas new bone only half-filled the Bio-Oss® defects at the same period. https://lnkd.in/e79N-Ueu #biooss #xenograft #xenograftbone #morebone #tioss #dentalbonegrafts #oralbonegrafting
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Did you know that partial tooth loss (partial edentulism) in the lower jaw can significantly impact the feasibility of implant-based dental restorations? One challenge involves the lateralization of the alveolar nerve, a procedure that carries the risk of complications such as dysesthesia, which can affect sensation in the lower lip and front teeth. The #AMSJI system offers an innovative solution to overcome these limitations, providing a viable alternative for patients with such complex anatomical and clinical constraints. Face Ahead®️ Surgicenter [email protected] +3235001005 +3235001007
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Single visit endodontic retreatment in maxillary 2nd premolar: 1. Removal of fiber post using burs and ultrasonic approach (E6D and UltraX tip by Eighteeth 2. GP removal with ultrasonic and rotary files (ultraX & eflex blue files Eighteeth 3. Laser disinfection by Soga 4. Obuturation using bioceramic sealer (NRootSp @enp biotech) & obturation unit (fast fill - fast pack @eighteeth.medical ) 5. Final restoration using composite resin (xtrabase and polofil NHT VOCO GmbH 6. Rubberdam by Sanctuary Dental Have a great day!! #endodontics #endodontist #dentalcases #doktergigi #spesialiskonservasigigi #odontologia
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