Extraction with Intentional Re-Implantation
When access to the root tip through a surgical window if not available, another option is to have the tooth extracted with intentional re-implantation. Once a tooth has had root canal treatment, the root canal treatment stands a small chance of failing. When the treatment is failing, the tooth may be extracted which allows the root tips to be inspected. Provided the tooth is not cracked, the root tips are inspected and a filling may be placed in the root tip. With intentional re-implantation, the tooth is placed back in the socket and the tooth may be saved.
Post-operative pain medication and antibiotics are typically prescribed. For a short period after the surgery, you will be instructed to avoid chewing on the re-implanted tooth. As with any extraction, the tooth may fracture on removal even with the delicate instrumentation Dr. Noraian uses. If the tooth is compromised by the extraction process it may not be re-implanted and it may be best to consider a simultaneous ridge repair to save the bone for other prosthetic options.
Dr. Noraian will review your options with you so that you know which treatment method is best for you.