Document Type
Article
Publication Date
6-26-2023
Publication Title
Case Reports in Dentistry
ISSN
2090-6447
Volume
2023
First Page
2103999
Abstract
Treatment of large external cervical resorption (ECR) lesions may be compromised, rendering the tooth unrestorable. Intentional replantation is a potential treatment option depending on the site and extent of ECR. We present a case of a large ECR successfully managed with intentional replantation with rotation of the tooth. The female patient consulted the hospital clinic, with an extensive palatal ECR on the maxillary lateral incisor. Routine planar radiographs and cone-beam computed tomography demonstrated a larger palatal than the ECR lesion (Heithersay Class III and Patel's Class 2Bp) not amenable to nonsurgical treatment. Intentional replantation after short-term extrusion was planned. The defect was restored, then a palatal ferrule was achieved by rotating the tooth by 180°. At the 18-month follow-up, the periradicular and periodontal tissues remained healthy, and no other symptoms were reported. In conclusion, this successful video-illustrated clinical case highlights the benefits of intentional replantation in saving teeth with advanced ECR.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
NSUWorks Citation
Okamoto, Motoki; Asahi, Yoko; Duncan, Henry Fergus; Kuriki, Nanako; Takahashi, Yusuke; and Hayashi, Mikako, "Repair of an Extensive External Cervical Resorption Lesion Using Intentional Replantation with Crown Rotation." (2023). HPD Articles. 362.
https://nsuworks.nova.edu/hpd_facarticles/362
ORCID ID
DOI
10.1155/2023/2103999
Copyright
Copyright © 2023 Motoki Okamoto et al.
