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Int Endod J. 2007 Nov;40(11):891-9. Epub 2007 Sep 18.

Intentional replantation for the management of maxillary sinusitis.

Author information

1
Department of Oral Surgery, University of Valencia, Valencia, Spain. miguel.penarrocha@uv.es

Abstract

AIM:

To present a case that emphasizes the importance of the use of intentional replantation as a technique to successfully treat a periapical lesion and an odontogenic maxillary sinusitis through the alveolus at the same time.

SUMMARY:

This case report presents a patient with odontogenic maxillary sinusitis secondary to periapical disease of a maxillary molar that had previously received root canal treatment. The molar was extracted, with drainage and rinsing of the maxillary sinus. The apices were resected extra-orally, the retrograde cavities prepared with ultrasound and retrograde fillings of silver amalgam placed. The tooth was then replanted. After 2 years, the patient was asymptomatic, periapical radiography showed no evidence of root resorption and computed tomography scanning demonstrated the resolution of maxillary sinusitis.

KEY LEARNING POINTS:

*When root canal treatment or periapical surgery cannot be undertaken or has failed, intentional replantation may be considered. *This alternative treatment may be predictable in certain cases.

[Indexed for MEDLINE]

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