Short-term evaluation of intentional replantation of vertically fractured roots reconstructed with dentin-bonded resin

J Endod. 2002 Feb;28(2):120-4. doi: 10.1097/00004770-200202000-00018.

Abstract

The purpose of this study was to evaluate intentional replantation of vertically fractured roots reconstructed with dentin-bonded resin. Twenty vertically fractured teeth were extracted intentionally and reconstructed with 4-META/MMA-TBB dentin-bonded resin. After reconstruction, the teeth were replanted into the original sockets. The replanted teeth were evaluated by clinical criteria and radiographic examination. The observation periods ranged between 4 and 45 months. Longevity was calculated by the Kaplan-Meier method, and factors that had significant influence on the longevity were analyzed with the Log rank test at a 95% level of confidence. From this short-term observation, 14 of 20 cases were functioned in the oral environment. Of these 14 cases, 6 could be considered truly successful and 8 cases needed further observation. The other six cases were total failures and were extracted. The longevity was calculated as 83.3% at 12 months and 36.3% at 24 months. Teeth with thin roots or with longitudinal fractures extending over 2/3 of the root from the cervical portion toward the apex showed significantly lower longevity. It was concluded that this method had the potential to preserve vertically fractured teeth.

MeSH terms

  • Acrylic Resins / therapeutic use*
  • Adult
  • Aged
  • Dental Restoration Failure
  • Dental Restoration, Permanent / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Proportional Hazards Models
  • Resin Cements / therapeutic use*
  • Survival Analysis
  • Tooth Extraction
  • Tooth Fractures / surgery*
  • Tooth Replantation*
  • Treatment Outcome

Substances

  • Acrylic Resins
  • Resin Cements
  • 4-META resin