• Title/Summary/Keyword: Replantation

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Changes in periodontium after extraction of a periodontally-involved tooth in rats

  • Kim, Dong-Ju;Cha, Jae-Kook;Yang, Cheryl;Cho, Ahran;Lee, Jung-Seok;Jung, Ui-Won;Kim, Chang-Sung;Lee, Seung-Jong;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.42 no.5
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    • pp.158-165
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    • 2012
  • Purpose: Recent interest has focused on intentional replantation to restore an original tooth. Some studies have shown successful results with intentional replantation for periodontally involved teeth. For long-term success of replantation, a healthy periodontal status of the recipient site is required so that delayed replantation is more suitable for periodontally involved teeth. To reveal the ideal timing for delayed replantation of periodontally involved teeth, the healing process of extraction sockets after extraction of periodontitis-induced teeth in rats was evaluated. Methods: Twenty-eight rats were randomly divided into two groups: a control group (n=8) and test group (n=20). In the test group, periodontitis was induced by a ligature around the cervix of the mandibular first molar of all of the rats. Two weeks later, the mandibular first molars were extracted in all of the animals. The animals were sacrificed on days 0, 3, 7, and 10 after extraction and histological and immunohistochemical analysis was performed. Results: In histological analysis of the test group, inflammatory cell infiltrate was found abundantly in the remaining periodontium 3 days after tooth extraction and decreased gradually at later time points. In immunohistochemical analysis of the test group, both interleukin-6 (IL-6) and, tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$) were numerous in the furcation area at each postextraction day. IL-6 was stained more heavily between 3 and 7 days after extraction; at day 10 after extraction, little staining was observed. TNF-${\alpha}$ staining was more intense at 3 days after extraction and gradually weakened at later points in time. Conclusions: Within the limits of this study, it takes at least 10 days to resolve periodontal inflammation in rat extraction sockets.

A CASE OF REPLANTATION OF UPPER RIGHT CENTRAL INCISOR (상악 우측 중절치의 재식술)

  • Choi, Jae-Kyung;Yoon, Chang-Keun
    • The Journal of the Korean dental association
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    • v.9 no.8
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    • pp.479-482
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    • 1971
  • Authors performed the replantation of the intruded upper right central incisor with the compound fracture of the alveolar process caused by fall down, in particular manipulating the periodontal membrane attached to the root surface or alveolar socket wall with out surgical injury while operation, and observed the good progress clinically and on roengenographs.

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Ischemia Time up to 18 Hours Does not Affect Survival Rate of Replanted Finger Digits (18 시간까지의 허혈시간이 재접합 수지의 생존율에 미치는 영향)

  • Park, Jung-Il;Lee, Dong-Chul;Kim, Jin-Soo;Ki, Sae-Hwi;Roh, Si-Young;Yang, Jae-Won
    • Archives of Plastic Surgery
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    • v.38 no.5
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    • pp.636-641
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    • 2011
  • Purpose: There are multiple dependent variables commonly attributed to survival of replanted digits. The ischemia time is thought to be a clinically relevant factor. However, controversy exists as large hand centers have reported successful replant outcomes independent of ischemic time. In this study, we present a single institution experience on the effect of ischemia time on the survival of completely amputated digits. Methods: A retrospective review of a single institution experience was performed. This cohort included all comers who had suffered complete amputation of a digit (Zone 2-4) and underwent replantation from 2003 to 2009. Demographic information as well as injury mechanism, ischemic time, and replantation outcome were recorded for each patient. Chi-square was used to analyze the result. Results: Mean age was 35.5 years old (2-69). Mean replantation survival was 89.5% (37/317). Survival rates were 94, 88, and 88% in respective groups of 0~6, 6~12, of > 12 hours of ischemia time. In chi-square analysis, there was no difference with $p$ value of 0.257. No other independent patient factors showed statistically significant relationship to replant survival rate. In the group with longest ischemia time (12~18 hours) replant survival rate was 88% (37/42). Conclusion: Prolonged ischemia time is commonly believed to be a contributing factor for replant survival. However, our experience has shown that survival rate is uniform up to 18 hours of ischemia.

Intentional replantation with preapplication of orthodontic force on mandibular second molar (하악 제2대구치의 술전 교정적 정출술을 동반한 의도적 재식술)

  • Kim, Jong-Soon;Chang, Hoon-Sang;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann;Lee, Bin-Na
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.274-280
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    • 2021
  • Intentional replantation has been used for alternative treatment for conventional root canal therapy. This case report describes that the intentional replantation with application of extrusive orhodontic force for 6 weeks, on which tooth of previous root canal therapy. As preapplicatory orthodontic force, tooth moblity was increased so that extraction of the designated tooth was more easily accomplished and augmented volume of periodontal ligament is expected to acceleated gingival reattachment.

Transplantation and Replantation Using R.P.I.(ring pin implant) (R.P.I.(ring pin implant)를 응용한 치아의 재식과 이식)

  • Kim, Jae-Chul
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.8 no.1
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    • pp.36-44
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    • 1999
  • No one really doubts that the hottest area of dentistry in 21st century would most likely be 'implant'. With the support of a vast amount of research, implant has been successfully and rapidly absorbed into the field of general dentistry including private practitioners. For teeth with hopeless(or refractory) periodontitis or periapical pathosis, with no hesitation most dentists would think extraction as the sole treatment option followed by prosthodontic replacement possibly including implant. Not many dentists would take Trasplantation/Replantation as another treatment option for a particular condition. Dentistry is often more focused on 'Restoration' than 'Preservation' of natural dentition. 'Biologic Implant' is obviously much closer to the concept of 'Preservation'. Many different types of biologic implant system have been introduced to clinical dentistry so far. Many of those have failed to earn reasonable acknowledgement despite of the clinical success they brought. For some reason biologic implant has rather been alienated for long time. RPI(Ring Pin Implant) is designed to improve the prognosis and success rate of transplanted/replanted teeth. RPI is a Ti-based custom made implant system. It is fabricated either by electric casting or milling process. The major feature RPI gas is the 'ring & hole' structure. The hole should be no less than 1mm diameter to allow bone bridge formation thru it. The ring structure and bone bridge formation creates anti-torque activity, which largely increases the 'initial stability' of the transplanted/replanted teeth. It is also reported that RPI is beneficial in the aspect of resisting root resorption following replantation/transplantation procedure.

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USING REMOTE SENSING TO DETECT THE COASTLINE CHANGE FOR MANGROVE REPLANTATION AT BAN LAEM SING, CHAO PHRAYA RIVERMOUTH, IN THE GULF OF THAILAND

  • Siripong, Absornsuda
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.535-538
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    • 2006
  • The coastline of the Choa Phraya Rivermouth in the Upper Gulf of Thailand has been changed drastically. The western side especially at Ban Laem Sing was eroded for 400 meter in 26 years or with the rate of 15 meter per year on the average. The Metropolitan Electricity Authority has granted five years research project to us to study the efficiency of the electric pole fence as a mean to reduce the wave force and increase sedimentation rate inside for mangrove replantation. If the method works efficiently, it will be used to reclaim the coastal land loss in other areas in Thailand. The project was done since 2005 after the fence was constructed completely in October 2005. The oceanographic surveys were conducted before and after the construction in northeast monsoon season to study the impact of physical oceanographic forces on the coastline change. The sedimentation rates were measured each month. It is rather low about 2 cm/month. The subsiding rate from the load of deltaic sediment and groundwater withdraw using boring data is about 30 mm/year. The cumulative sinking rate is 55.8 cm from 1978 to 1995. We have tried to design the method of mangrove plantation in this area. The remote sensing data such as LANDSAT and aerial photos from 1987 to 2002 for 15 years were used to compute the rate of coastline change at each 50 m section along the western side of the rivermouth.

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Endodontic Drainage in Delayed Replantation after Prolonged Extra-alveolar Period of the Avulsed Teeth: Report of a Case (외상 후 오랜 시간 지체된 탈락 치아 재식술 시행 시 근관 통한 배농: 증례보고)

  • Yoo, Jae-Ha;Kim, Jong-Bae;Son, Jeong-Seog
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.4
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    • pp.280-285
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    • 2012
  • From the standpoint of general guidelines of a dentist, the following conditions should be considered before replanting a permanent tooth. The avulsed tooth should be without advanced periodontal disease. The alveolar socket should be reasonably intact in order to provide a seat for the avulsed tooth. The extra-alveolar period should be considered, i.e. periods exceeding. 2 hours are usually associated with marked root resorption. But, the above mentioned regulations are often difficult to keep in the actual situation of the medical emergency room, owing it to the delay of primary medical care in multiple trauma patients. The successful cases have been reported with minimal root resorption in the long-term periods, in spite of extra-alveolar periods of several hours and combined alveolar bone fracture. This is a case report regarding the effect of endodontic drainage in delayed replantation after a prolonged extra-alveolar period of the avulsed teeth with alveolar bone fracture.

A STUDY ON THE PERIODONTAL HEALING BY VARIOUS ROOT TREATMENT IN DELAYED REPLANTATION (지연재식(遲延再植) 시(時) 치근처리(齒根處理)에 치주조직(齒周組織)의 치유(治癒)에 관(關)한 연구(硏究))

  • Rim, Sung-Soo;Kim, Jong-Yeo;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.1
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    • pp.1-18
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    • 1998
  • The purpose of this study was to analyze comparatively the effect of various root pretreatments prior to delayed replantation. Total 6 beagle dogs were used for the experiment and 8 teeth per each animal were treated by several prepared regimens before replantation. After 3 & 6 weeks of experimental periods, animals were sacrificed by perfusion method. The results obtained from the present study can be summarized as follows: 1. All root pretreatment regimen used in this experiment showed effectiveness in the periodontal repair of delayed replanted teeth. 2. The teeth treated by the regimen of stannous fluoride combined with tetracycline revealed more favorable tissue response and less frequent root resorption or ankylosis than other groups. 3. The long term effect of Group IV-regimen seems to be worth further study since the result at 6-weeks showed the significant progress in periodontal healing when compared to 3-week result which was not indicated in any other group

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Replantation of autotransplanted mature third molar in anterior open bite patient: case report (개방 교합 환자에서 자가 이식된 치아의 재식)

  • Hee-Jin Kim
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.1
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    • pp.52-60
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    • 2023
  • Autotransplantation of third molars with completely formed roots is known to be effective and provide a high long-term success rate. However, in case of severe mobility or unexpectedly extraction is observed during the monitoring period after surgery, it is generally considered as a failure. This case report describes successful replantation of autotransplanted mature third molar into surgically created molar socket. 1 year follow up of transplanted tooth showed clinically normal periodontal pocket depth and tooth mobility. Root resorption or bone loss were not observed. Provided that there is no apparent sign of inflammation, re-insertion into socket is a viable alternative to immediate determination of extraction.