Reimplante intencional en diente geminado con lesión endoperio tipo IV. Reporte de caso

Abstract

In teeth with gemination and unresolved periapical lesions after endodontic treatment we must think not only in diagnosis but also periodontal endodontic, as these teeth in the attempt of separation may have grooves or cracks that go from the incisal edge to root becoming a channel of communication between the apical and oral cavity. To make the treatment plan should take into account: persistent symptoms, after endodontic therapy, persistent fistula, large periapical lesions, periodontal pocket, root anatomy of the tooth organ palate (palatine canal alleged) and that the anatomy tooth is favorable to perform the procedure.The extraction and intentional replantation is the treatment in cases where the endodontic treatment fails and the anomaly dental periapical surgery also fail because only temporarily remove the lesion but not the cause it is the communication between the oral cavity and apical area. However, it is known that this treatment option can have risks and benefits, including tooth loss or possible ankylosis and with a success rate of 42.9%. The present case report describes the extraction and intentional replantation geminate tooth with a persistent periapical lesion of periodontal origin, with symptoms and fistula, after endodontic treatment complex, its evolution and success.