Case Challenge (Part 2)
By Dr. Bianca Aboubakare
For the case presentation, please visit the November 2023 edition of the Paper Point which can be accessed here
We published a poll in Part 1 of this case. Here are the results:
Treatment Rendered: Intentional replantation of tooth #23 and tooth #24. Teeth were extracted atraumatically and bathed under constant stream of HBSS. Roots were stained with methylene blue and no cracks/fractures were identified. Root resections performed and the untreated canals instrumented with rotary files and obturated with BC sealer and gutta percha. Retro preparations were done with a 1/4 round bur and retro fillings done with BC putty. Teeth were replanted with digital pressure and stabilized with a non-resorbable monofilament suture to the adjacent teeth’s brackets and further secured with flowable composite.
Immediate post-op: teeth were left superior to their original position to gain ferrule for new crown preparations.
6-month recall: Both teeth had Class I mobility and were no longer sensitive to percussion at the six month recall examination, and the CBCT demonstrated satisfactory short-term healing.
Dr. Bianca Aboubakare is an endodontist in Phoenix, Ariz., and member of the Resident and New Practitioner Committee. She completed dental school at Western University of Health Sciences, a GPR at the Veterans Affairs Medical Center in West Los Angeles, and her endodontic training at the University of the Pacific in San Francisco.