# Management of a Periodontally Hopeless Tooth with Intentional Re-implantation

## TL;DR

A patient with a tooth expected to be lost due to periodontal disease had successful long-term results after intentional replantation.

## Contribution

Demonstrates intentional replantation as a viable alternative to extraction for teeth with hopeless periodontal prognosis.

## Key findings

- A tooth with complete periodontal attachment loss was successfully replanted and maintained for three years.
- Alveolar bone gain was observed, indicating potential for tissue regeneration.
- The treatment preserved the patient's natural tooth and avoided extraction.

## Abstract

Intentional replantation is a process that involves purposeful tooth extraction and subsequent reinsertion of the removed tooth. Intentional replantation may be a therapeutic option worth considering to preserve the natural teeth and prevent tooth extraction, even though the success rate is not always high. Systemically healthy male patient was referred to our department. Diagnosis was chronic periodontitis and class III mobility was noted at the right maxillary central incisor with complete periodontal attachment loss. After phase I therapy periodontally involved tooth was extracted, endodontic treatment was accomplished, the tooth was replanted and stabilized with a composite wire splint. At the end of 3 years tooth was in function with alveolar bone gain. Intentional replantation provided long-term maintenance of patient’s own teeth and can be considered as an alternative treatment option tooth with hopeless prognosis.

Key words:Ankylosis, Chronic Periodontitis, Periodontal Attachment Loss, Root Resorption, Tooth Replantation, Tooth Extraction.