Skip to main content

REIMPLANTATAION :- To do or not to?

Image
By

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. 

Results

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.

Conclusion

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.
Labels:
Location:KAPILDENTALCLINIC Rohini, New Delhi, Delhi, India

Comments

Post a Comment

Popular posts

Need a perfect smile! Orthodontic Braces is definitely for you.

By
Everyone of us want to have a perfect smile that's dazzling and add spark and shine to the personality of the individual. But everyone is not blessed with it. Various conditions are severe that require orthodontic intervention for sure and some are less severe that does not require orthodontic treatment but cosmetic treatment can be done with some good results in that cases also. In India the awareness regarding orthodontic treatment is very limited due to which a large base of population spent their life with low social confidence because of unsightly appearance of smile and in whole looks also. But now because of various initiative by Indian dental association and Indian orthodontic society it has reached to a greater no. of peoples but still it is in its nascent stage.  Problems associated with it? Malocclusion in general is a condition that affects overall functioning that includes speech, chewing food etc. it can be defined as the variation from normal. It is pres
4 comments
Read more

Facing Bad Breath Problem!!!!! Here is the solution........

By
Have you ever wondered when you wake up in the morning and experience a bad taste  or foul smell from your mouth. When you see yourself in mirror and check your tongue and find white-yellowish covering over it.   Bad breath, called Halitosis  results from poor dental health habits. And it can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. Millions of bacteria live in the mouth, particularly on the back of the tongue.The mouth's warm, moist conditions are ideal for the growth of these bacteria. Hence cause bad breath in the mouth. REASONS FOR BAD BREATH : 1.  Poor dental hygiene Damaged toothbrushes leading to poor oral hygiene. Improper brushing and flossing can lead to food lodgement between the teeth which further leads to cavities and periodontal problems.  Going straight to sleep after eating, without brushing your teeth and cleaning your mouth results in poor oral hygiene. 2.  Infections in the mouth GUMS INFECTIO
4 comments
Read more

ALVEOLAR OSTEITIS ( DRY SOCKET )

By
ALVEOLAR OSTEITIS ( DRY SOCKET) ALVEOLAR OSTEITIS   as we commonly know as DRY SOCKET is a painful condition following a extraction in which patient experiences a severe, throbbing pain at the extraction site because of a exposed bone. We all know blood clot is formed after a extraction at the extraction site but if it fails to form or gets dislodged or lysed because of any reason it leaves a denuded bone where nerves are exposed, that leads to severe pain. SIGNS AND SYMPTOMS -  severe pain radiating pain may reach upto preauricular area usually felt after 3-5 days of extraction sometimes even not gets relieved by pain killers. pain may last upto 2-3 weeks post extraction   HOW TO DIAGNOSE?  o    A definite diagnosis can be made based on following symptoms :- §   Bone exposure §   Absence of facial swelling or swelling of the lymph nodes §   Pain when the extraction site is irrigated/flushed with fluids.
1 comment
Read more