REIMPLANTATAION :- To do or not to?
A number of cases can be seen which are unresposive to root canal as they have a periapical pathology assosiated with it. In this type of cases what should be the treatment protocol is always a matter of challenge. Small dental lesions like dental abscess can be easily resolved with the help of metapex etc. but larger lesions or we can say granulomatous lesions sometimes require surgical approach.
Question arises which surgical approach to be used. either go for apicocectomy or go for re-implantation?
Both the technique have some advantage and disadvantage but before that a fine line exists whether to go for which surgical technique.
Radiograph often reveals periapical radiolucency which is damaging to the health of surrounding bone. now, if the bone is perforated and there is a bony defect we donot have a option for reimplantation. we have to definitely go for apicocectomy but sometimes cases can be seen which can be effectively treated with reimplantation but are sacrificed on the name of apicocectomy because clinicians are often unaware of possible benefits of reimplantation.
Study done for this purpose
For this purpose we have conducted a study on 5 patients each for apicocectomy and reimplantation. The criteria for selection was cases on borderline. in both the technique the teeth were splinted at the end of procedure. and post operative radiographs were taken 1 month after the surgical procedure.
In our study we found reimplantation to be a better procedure than that of apicocectomy. the case results and life of the teeth is sufficiently increased as can be seen with the healing of the surrounding tissue. the mobility of the teeth, and radiographs, surrounding bone support, reoccurence of lesion etc.
So it can be effectively said that reimplantation is a far better procedure and should be done on a regular basis in the caese that need surgical intervention.