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Case Reports in Dentistry
Volume 2014, Article ID 793892, 5 pages
Case Report

Treatment of Necrotic Calcified Tooth Using Intentional Replantation Procedure

1Department of Endodontics, Dental School, Qazvin University of Medical Sciences, Qazvin 34157-59811, Iran
2Department of Endodontics, Dental School, Yazd University of Medical Sciences, Yazd 8914881167, Iran

Received 3 January 2014; Accepted 22 January 2014; Published 4 March 2014

Academic Editors: Y.-C. Hung and J. J. Segura-Egea

Copyright © 2014 Nima Moradi Majd et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. If the teeth are impacted by a chronic irritant, the pulp space possibly will undergo calcific changes that may impede access opening during root canal treatment. In such cases that conventional endodontic treatment is impossible or impractical, intentional replantation may be considered as a last solution to preserve the tooth. Methods. After failing to perform conventional root canal therapy for a necrotic calcified right mandibular second premolar, the tooth was gently extracted. The root apex was resected and the root end cavity was prepared and filled with calcium enriched mixture (CEM) cement. Then, the extracted tooth was replanted in its original position. Results. After a year the tooth was asymptomatic, and the size of periapical radiolucency was remarkably reduced and no clinical sign of ankylosis was observed. Conclusion. Intentional replantation of the necrotic calcified teeth could be considered as an alternative to teeth extraction, especially for the single-rooted teeth and when nonsurgical and surgical endodontic procedures seem impossible.