Skip to main content

REIMPLANTATAION :- To do or not to?

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.

Comments

Popular posts from this blog

Do i really need to get my WISDOM TEETH removed?????

very often a problem is arising among patients that if there is no pain in my wisdom tooth then why should i get it removed. There are various factors for which the removal should be done even if there is no pain.The wisdom teeth have an average age of eruption i.e 17-21yrs.and after this age the tooth loses its eruption potential and the various problem arises
just because your wisdom teeth aren't  paining doesn't mean there's nothing wrong. the TEETH could be stuck,or imapcted.which means they can't break through your jaw and into your oral cavity.maybe your oral cavity is too samll to make space for them.

variuos factors in which removal should be done-




INFLAMED GUMS:Tissue around the area can swell and may be hard to clean and which may further progress to infection.

JAW DAMAGE:cysts can form around new teth .if they aren't treated ,they canhollow out your jaw and may damage nerves.

DAMAGE TO OTHER TEETH:Those wisdom teeth can push your other teeth around,causing…

will my teeth get SENSITIVE after scaling(cleaning)??????

These days a major query is arising among patients is SENSITIVITY AFTER SCALING.
 i must say the results after scaling may vary from patient to patient as if in a patient deposition is deep i.e under gums "which requires deep cleaning" will show sensitivity. BUT if the deposition of plaque and tartar is only on superficial areas of teeth then there isno chance of senstivity
sensitivity is basically due to deep cleaning in which scaling along with root planing is performed,which involves the use of tools between the gums and tooth roots to remove plaque nad tartar on root surfaces.
Taking good care of your teeth after a deep cleaning treatment helps your gums heal by reducing the common triggers of pain and sensitivity.For this you need to brush your teeth with soft bristles toothbrush and  antisensitive toothpaste while your gums are sore and at the same time avoid  eating foods and drinks that set off your sensitivity.
This treatment can cause minimal discomfort which usual…