REPLANTATION - A GOOD BUT WELL FORGOTTEN METHOD FOR DENTAL TREATMENT
The term "replantation" comes from Latin - replanting. We extract the shaken or removable tooth and after appropriate treatment, we replant it in its own alveolus.
Along with many other healing methods in medicine, we know about replantation from archeological finds in Egypt, Mexico and others. Abul Qazim, a well-known Arab scholar, claims "... the skilled physician does this very easily."
In Bulgarian dentistry, the first attempts in this direction date back to the nineteenth century. It was not until 1970 that Prof. Kadankov defended his dissertation on this topic.
IN WHICH CASES DO WE APPLY REPLANTATION?
We apply replantation in cases of severe shaking of one or a group of teeth due to trauma. It is the only method for preserving accidentally or incorrectly extracted teeth. Also for teeth with root perforation or a broken canal instrument. Replantation is the more successful method of treating dental granuloma of the lower teeth than some routine dental surgeries.
WHEN CANNOT OR SHOULD NOT REPLANT A TEETH?
Replantation is impossible in cases of severe atrophy of the jawbones and in roots that are technically impossible to build. If the tooth or alveolar bone breaks during trauma or extraction, we also cannot apply it.
In some common diseases of the body, we have contraindications for replantation, such as hemophilia, diabetes, malignant tumors, mental illness, etc.
HOW DO WE DO REPLANTATION?
The operation is easy and any dentist can perform it, as it consists of two routine dental activities - tooth extraction and filling. The new thing is that we return the tooth prepared in this way to its own alveolus and fix it to the surrounding teeth or jawbones during the period of its healing.
WHAT IS THE DURABILITY OF REPLANTED TEETH?
This question excites patients the most.
There are very different data in the literature on this issue regarding the average shelf life of such teeth, ranging from 3 to 26 years. There is talk of the so-called "critical age" of 4 years according to some, according to others - 3, according to others -5 years, ie. if the tooth exceeds this limit, it will stay for a very long time, without specifying how much. In my opinion, it is more correct to talk about a statistically average length of stay or, more precisely, about functional suitability.
My own experience shows an age of 5 to 8 years, which I define as a serious period, allowing for conclusions in favor of the mass application of the method.
In support of this reasoning is the fact that the ancients practiced the method due to lack of alternatives. But why can't we, the dentists of the 20th century, who, despite having advanced equipment, modern remedies and materials, not always be able to save a diseased tooth?
![[/userfiles/files/repl_01%5B1%5D.jpg]](/userfiles/files/repl_01%5B1%5D.jpg "/userfiles/files/repl_01%5B1%5D.jpg")
A classic example of a replanted tooth - the border of the former granulomas is still visible, but the bone has a restored structure.
Along with many other healing methods in medicine, we know about replantation from archeological finds in Egypt, Mexico and others. Abul Qazim, a well-known Arab scholar, claims "... the skilled physician does this very easily."
In Bulgarian dentistry, the first attempts in this direction date back to the nineteenth century. It was not until 1970 that Prof. Kadankov defended his dissertation on this topic.
IN WHICH CASES DO WE APPLY REPLANTATION?
We apply replantation in cases of severe shaking of one or a group of teeth due to trauma. It is the only method for preserving accidentally or incorrectly extracted teeth. Also for teeth with root perforation or a broken canal instrument. Replantation is the more successful method of treating dental granuloma of the lower teeth than some routine dental surgeries.
WHEN CANNOT OR SHOULD NOT REPLANT A TEETH?
Replantation is impossible in cases of severe atrophy of the jawbones and in roots that are technically impossible to build. If the tooth or alveolar bone breaks during trauma or extraction, we also cannot apply it.
In some common diseases of the body, we have contraindications for replantation, such as hemophilia, diabetes, malignant tumors, mental illness, etc.
HOW DO WE DO REPLANTATION?
The operation is easy and any dentist can perform it, as it consists of two routine dental activities - tooth extraction and filling. The new thing is that we return the tooth prepared in this way to its own alveolus and fix it to the surrounding teeth or jawbones during the period of its healing.
WHAT IS THE DURABILITY OF REPLANTED TEETH?
This question excites patients the most.
There are very different data in the literature on this issue regarding the average shelf life of such teeth, ranging from 3 to 26 years. There is talk of the so-called "critical age" of 4 years according to some, according to others - 3, according to others -5 years, ie. if the tooth exceeds this limit, it will stay for a very long time, without specifying how much. In my opinion, it is more correct to talk about a statistically average length of stay or, more precisely, about functional suitability.
My own experience shows an age of 5 to 8 years, which I define as a serious period, allowing for conclusions in favor of the mass application of the method.
In support of this reasoning is the fact that the ancients practiced the method due to lack of alternatives. But why can't we, the dentists of the 20th century, who, despite having advanced equipment, modern remedies and materials, not always be able to save a diseased tooth?
A classic example of a replanted tooth - the border of the former granulomas is still visible, but the bone has a restored structure.