Concurrent intentional replantation of maxillary molars using a novel root-end filling.

This article describes the successful concurrent intentional replantation (IR) of 2 maxillary molars. A 28-year-old woman complained of repeated swelling and pain in the left maxilla when chewing. Teeth No. 14 and 15 were sensitive to percussion and palpation. Radiographs revealed a large periapical radiolucent lesion and inadequate root canal fillings in both teeth. The patient refused nonsurgical retreatment, periradicular surgery, or implant replacement as treatment options, so IR was chosen. After the extraction of tooth No. 14, root-end resection and root-end preparation of the 3 roots were completed. All root-end cavities were filled with calcium enriched mixture cement and the tooth was replanted. The same procedure was done for tooth No. 15. The patient was recalled 1, 7, and 14 days post-treatment for clinical evaluations. Follow-up visits at 6, 10, 15, and 24 months postsurgery revealed that both teeth were functional with no signs or symptoms of inflammation or resorption. The periapical lesion was healed at 24 months.