Re-implantation of hopeless tooth due to periodontal disease by using implant surgical drilling: Case report study

Aim and methodology: This article presents an intentional replantation of a periodontally involved hopeless incisor tooth with one year of results. This involves the purposeful removal of the tooth and its reinsertion into the socket after proper endodontic manipulation and repair. Results: A hopeless periodontally involved central incisor was replanted after root canal treatment and tetracycline-HCI conditioning using implant surgical drilling technique and supplemented with bone graft material and kept under observation for one year. It was seen that the tooth was asymptomatic and still in function with no radiographic signs of pathosis. Periodontal health was in normal limits with no bleeding on probing and no pathological pocket formation. Reasonable amount of alveolar bone support was observed. The results obtained may indicate that intentional replantation is a viable mode of treatment in certain situations to preserve the natural dentition. Conclusion: Intentional tooth reimplantation can be an alternative treatment option for periodontally involved teeth with poor or hopeless prognosis.