Periodontal Regeneration of Teeth with Radicular Developmental Groove after Intentional Replantation: Two Case Reports
Ling Qing , Zhiwei Hong , Shuaimei Xu , Yingyuan Ning , Xindi Ma , Maobin Yang , Lei Chen
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.
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