The current status of intentional replantation: a narrative review

Musliana Mustaffa; Sobrina Mohamed Khazin; Nurul Ain Ramlan; Huwaina Abd Ghani

doi:10.31436/ijohs.v6i2.379

Authors

Musliana Mustaffa Department of Restorative Dentistry, Kulliyyah of Dentistry, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Bandar Indera Mahkota, 25200 Kuantan, Pahang, Malaysia.
Sobrina Mohamed Khazin Department of Restorative Dentistry, Kulliyyah of Dentistry, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Bandar Indera Mahkota, 25200 Kuantan, Pahang, Malaysia.
Nurul Ain Ramlan Centre of Studies, Comprehensive Care Dentistry, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor Branch, 47000 Jalan Hospital, Sungai Buloh, Selangor, Malaysia.
Huwaina Abd Ghani Conservative Dentistry Unit, School of Dental Sciences, University of Science Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

DOI:

https://doi.org/10.31436/ijohs.v6i2.379

Keywords:

endodontics, extra oral root-end surgery, intentional replantation, tooth reimplantation

Abstract

Intentional replantation which has been practiced since the 1940s has evolved from its initial position as a final course of treatment to a viable alternative for managing failed root canal treatment. This review provides an overview of the current status of intentional replantation, clinical considerations prior to intentional replantation procedure, treatment outcomes and to explore future direction in this field. A literature search was conducted via Google Scholar using the search terms ‘tooth reimplantation’ and ‘intentional replantation’, and PubMed using the search terms ‘tooth reimplantation AND endodontics’, and ‘intentional replantation’ AND endodontics’ for English language publications from January 2000 to December 2024. Additional relevant articles were identified through manual review of reference list from selected publications. Findings from this review indicate that favourable treatment outcomes can be achieved depending on several critical factors such as the access and understanding of current intentional replantation protocols, meticulous preoperative assessments, careful case selection criteria, adherence to established extra-oral manipulation time limitations during the procedure, and implementation of atraumatic tooth extraction techniques to prevent root damage.

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