Intentional re-implantation in a left mandibular second molar with broken file in apical third of mesiobuccal root: a case report

Authors

  • Hajrah Tariq Department of Operative Dentistry, Islamic International Dental Hospital, Riphah International University, Islamabad, Pakistan
  • Mehak Baber Ali Department of Operative Dentistry, Islamic International Dental Hospital, Riphah International University, Islamabad, Pakistan
  • Zarnab Rizwan Department of Operative Dentistry, Islamic International Dental Hospital, Riphah International University, Islamabad, Pakistan
  • Ghina Rizwan Department of Operative Dentistry, Islamic International Dental Hospital, Riphah International University, Islamabad, Pakistan
  • Sidra Leghari Department of Operative Dentistry, Islamic International Dental Hospital, Riphah International University, Islamabad, Pakistan
  • Alia Ahmed Department of Operative Dentistry, Islamic International Dental Hospital, Riphah International University, Islamabad, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4774

Abstract

Intentional re-implantation is done in cases of endodontic failures where conventional treatment options either fail or cannot be carried out due to any reason. It involves extraction of the offending tooth, extra oral apicectomy, followed by reinsertion of the tooth into its anatomical location. The following case report presents a situation where an endodontic instrument was separated in the mesiobuccal root of the left mandibular second molar during instrumentation that could not be retrieved. The decision of intentional re-implantation was made after detailed discussion with the patient, weighing pros and cons of each available treatment option. Fortunately, a favourable outcome was observed over a span of one year and the patient is still on follow-up for evaluation of long-term prognosis.

Key Words: Intentional re-implantation, Apicectomy, Broken file.

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Published

2022-11-15

Issue

Vol. 72 No. 12 (2022): DECEMBER

Section

Case Report