M L Siers1, W L Willemsen, K Gulabivala. 1. Department of Cariology and Endodontology, Faculty of Dental Science, University of Nijmegen, the Netherlands. M. Siers@dent.kun.nl
Abstract
AIM: To initiate discussion on the value of routine root canal treatment for transplanted teeth. SUMMARY: Autotransplantation is an accepted treatment option to replace missing teeth. It is generally considered that revascularization of the pulp following such a procedure is more favourable in teeth with immature roots. In teeth with closed apices root canal treatment is considered necessary. This paper presents a case of pulp revascularization in a transplanted tooth with mature roots and casts doubt on whether root canal treatment is essential in such situations. An alternative treatment protocol is proposed. KEY LEARNING POINTS: * Following transplantation original pulp tissue may survive the operation. * Teeth with obliterated pulp space do not become necrotic more often than those without obliteration. * Monitoring the tooth is an acceptable alternative to automatic root canal treatment for transplanted teeth. * Root canal treatment should be undertaken only upon occurrence of pathological signs.
AIM: To initiate discussion on the value of routine root canal treatment for transplanted teeth. SUMMARY: Autotransplantation is an accepted treatment option to replace missing teeth. It is generally considered that revascularization of the pulp following such a procedure is more favourable in teeth with immature roots. In teeth with closed apices root canal treatment is considered necessary. This paper presents a case of pulp revascularization in a transplanted tooth with mature roots and casts doubt on whether root canal treatment is essential in such situations. An alternative treatment protocol is proposed. KEY LEARNING POINTS: * Following transplantation original pulp tissue may survive the operation. * Teeth with obliterated pulp space do not become necrotic more often than those without obliteration. * Monitoring the tooth is an acceptable alternative to automatic root canal treatment for transplanted teeth. * Root canal treatment should be undertaken only upon occurrence of pathological signs.