Assistant Professor of Endodontics and Director of Endodontic Clinic, Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Diplomate, American Board of Endodontics.
Clinical Associate Professor of Endodontics, Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Private Practice in Endodontics, Newtown, Pennsylvania; Diplomate, American Board of Endodontics.
Compend Contin Educ Dent. 2024 Mar;45(3):152-156.
Intentional replantation (IR) is the intentional extraction of a tooth followed by its replacement back into its socket for the purpose of performing a root-end surgery or other necessary repairs. The procedure may be considered a favorable alternative to conventional microsurgery, especially when surgical access is restricted due to specific anatomical challenges. With advancements in magnification, bioceramics, and instrumentation, IR has become a well-established, scientifically supported treatment modality and is cost-effective when compared to single-implant placement. This article discusses the rationale and indications for IR, describes treatment protocols, and reports on its outcomes.
目的：将牙拔出后再植回牙槽窝内，以便进行根尖手术或其他必要的修复，这一过程被称为有目的的再植术（IR）。与传统的显微镜手术相比，尤其是当由于特定的解剖学挑战而限制了手术通道时，该程序可能被视为一种有利的替代方法。随着放大、生物陶瓷和仪器设备的进步，IR 已成为一种成熟的、有科学依据的治疗方式，与单种植体放置相比，它具有成本效益。本文讨论了 IR 的原理和适应证，描述了治疗方案，并报告了其结果。
