Intentional replantation for the treatment of palatal radicular groove with endo-periodontal lesion in the maxillary lateral incisor: a case report.

Author: Xuelian TAN ¹ ; Lan ZHANG ²
Author Information

1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospitalof Stomatology, Sichuan University, Chengdu 610041, China.
2. State Key La
Publication Type:Journal Article
Keywords: endo-periodontal lesion; intentional replantation; microscopic root canal therapy; palatal radicular groove
From: West China Journal of Stomatology 2017;35(4):448-452
CountryChina
Language:Chinese
Abstract: Palatal radicular groove leads to severe endo-periodontal lesion in lateral incisors. The groove occurs on the labial and lingual root surfaces, while the localized periodontal pocket develops along the lingual groove length. The complicated root canal system, extensively destroyed bone lamella, and persistent fistula pose a challenge for root canal therapy, tooth retention, and thorough infection control inside and outside of the root canal. Combining microscopic root canal therapy with intentional replantation and nano-biomaterial application facilitates infection control, tooth retention, and formation of newly periodontal attachment.