Saving Teeth at the Edge: Intentional Replantation, PRF, and the Future of Endodontic Microsurgery – Ep. 83
In this episode of Endo Voices, host Dr. Marcus D. Johnson sits down with renowned endodontist and educator Dr. Samuel Kratchman for a dynamic conversation on the evolving landscape of endodontic microsurgery and the relentless pursuit of saving natural teeth. Drawing on decades of clinical experience, Dr. Kratchman reflects on his journey in endodontics—from early mentorship and academic leadership at the University of Pennsylvania to becoming a global voice in microsurgical innovation. Together, they explore how advancements in technology, biomaterials, and surgical techniques are reshaping what’s possible in modern endodontic care.
The discussion dives into emerging regenerative concepts, including platelet-rich fibrin (PRF), biologically driven grafting strategies, and the growing role of intentional replantation as a powerful tool in the endodontist’s armamentarium. With practical insights, clinical pearls, and candid reflections, Dr. Kratchman shares how thoughtful innovation and evidence-based practice can expand treatment possibilities while keeping the ultimate goal in focus.
Episode Resources
- Naseri, R., Kratchman, S., Karabucak, B., & Kim, S. (2020). Selective curettage in endodontic microsurgery: A clinical evaluation. Journal of Endodontics, 46(11), 1593–1599.
- Ricucci, D., & Siqueira, J. F., Jr. (2010). Biofilms and apical periodontitis: Study of prevalence and association with clinical and histopathologic findings. Journal of Endodontics, 36(8), 1277–1288. https://doi.org/10.1016/j.joen.2010.04.007
- Torabinejad, M., Anderson, P., Bader, J., Brown, L. J., Chen, L. H., Goodacre, C. J., Kattadiyil, M. T., Kutsenko, D., Lozada, J., & Patel, R. (2015). Outcomes of intentionally replanted teeth: A systematic review. Journal of Endodontics, 41(7), 992–998. https://doi.org/10.1016/j.joen.2015.03.025
- Mainkar, A., & Kim, S. (2017). A prospective clinical study of intentional replantation of teeth. International Endodontic Journal, 50(9), 852–859.
- Kim, S., & Kratchman, S. (2006). Modern endodontic surgery concepts and practice: A review. Journal of Endodontics, 32(7), 601–623. https://doi.org/10.1016/j.joen.2005.12.010
- Setzer, F. C., Shah, S. B., Kohli, M. R., Karabucak, B., & Kim, S. (2010). Outcome of endodontic surgery: A meta-analysis of the literature. Journal of Endodontics, 36(11), 1757–1765. https://doi.org/10.1016/j.joen.2010.08.021
- Choukroun, J., Adda, F., Schoeffler, C., & Vervelle, A. (2001). An opportunity in perio-implantology: Platelet-rich fibrin. Implantodontie, 42, 55–62.
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Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.