Operative Dentistry & Endodontics, The Aga Khan University, Karachi, Pakistan.
Endodontics, Baqai Dental College, Karachi, Pakistan.
Aust Endod J. 2023 Sep;49 Suppl 1:494-507. doi: 10.1111/aej.12707. Epub 2022 Nov 10.
The purpose of the present review was to examine success, survival and failure following intentional replantation of endodontically treated teeth with existing periapical pathosis and to determine the factors that might affect the outcome of replantation. Clinical trials, longitudinal studies, case series with >10 cases and at least 1-year follow-up were included. The average rate of success following intentional replantation was 77.23%. Meta-analysis revealed the mean weighted survival to be 85.9% (95% CI: 79.6-91.2) Common complications include inflammatory root resorption (0%-27%) and ankylosis (0%-25%). Variables influencing successful outcome include extra alveolar dry time <15 min; root-end resection (2-3 mm) and cavity preparation (3 mm); manipulation of the tooth using the crown only; and use of an appropriate storage media. The review concludes that intentional replantation is a viable treatment option with acceptable survival rates for endodontically treated teeth with periapical pathosis.
本次综述的目的是检查伴有根尖周病变的牙髓治疗牙进行再植术后的成功率、存活率和失败率，并确定可能影响再植术结果的因素。纳入的研究类型包括临床试验、纵向研究、超过 10 例的病例系列研究以及至少 1 年的随访。再植术后的平均成功率为 77.23%。Meta 分析显示，平均加权存活率为 85.9%（95%CI：79.6-91.2）。常见的并发症包括炎症性牙根吸收（0%-27%）和骨粘连（0%-25%）。影响成功结局的变量包括牙槽外干燥时间<15 分钟；根尖切除（2-3mm）和窝洞预备（3mm）；仅使用牙冠进行牙的操作；以及使用适当的储存介质。本综述得出的结论是，对于伴有根尖周病变的牙髓治疗牙，再植术是一种可行的治疗选择，具有可接受的存活率。
