Qing Ling, Hong Zhiwei, Xu Shuaimei, Ning Yingyuan, Ma Xindi, Yang Maobin, Chen Lei
Departments of Prosthodontics, Stomatological Hospital of Southern Medical University, Guangzhou, Guangdong, China.
Departments of Oral Emergency, Stomatological Hospital of Southern Medical University, Guangzhou, Guangdong, China.
Iran Endod J. 2021 Fall;16(4):254-260. doi: 10.22037/iej.v16i4.33432.
Our case reports probe whether intentional replantation is a feasible and successful treatment for teeth with radicular developmental groove. Radicular developmental groove is an anatomical malformation that often leads to combined periodontal-endodontic lesion. Treatment of complex radicular groove presents a great challenge to the operator. Two cases of periodontal compromised teeth with this developmental anomaly were treated with intentional replantation and followed up for 2 years. The teeth were asymptomatic and functional. The periodontal probing depths decreased from original 10 mm to 2-3 mm. The receded gingival papillae associated with the teeth was regenerated two years after intentional replantation. With careful case selection and treatment planning, intentional replantation may be a predictable alternative treatment modality for the combined endodontic-periodontal lesion accompanied with radicular developmental groove.
我们的病例报告探讨了对于有牙根发育沟的牙齿，有意再植是否是一种可行且成功的治疗方法。牙根发育沟是一种解剖学畸形，常导致牙周牙髓联合病变。复杂牙根沟的治疗对操作者来说是一个巨大挑战。两例患有这种发育异常且牙周受损的牙齿接受了有意再植治疗，并随访了2年。牙齿无症状且功能良好。牙周探诊深度从原来的10毫米降至2 - 3毫米。有意再植两年后，与这些牙齿相关的退缩牙龈乳头得以再生。通过仔细的病例选择和治疗计划，对于伴有牙根发育沟的牙髓牙周联合病变，有意再植可能是一种可预测的替代治疗方式。
