The Tooth “Implant”: Intentional Replantation and Autogenous Transplantation
When orthograde retreatment and apical microsurgery are considered unfeasible, when they fail to resolve persistent endodontic infection, or when the remaining tooth structure is deemed non- restorable, the tooth is usually extracted and replaced with an implant or another prosthetic device.
Alternatively, when clinical conditions permit, the tooth can be extracted, manipulated extra-orally and replanted (Intentional Replantation, Surgical Extrusion), or a non-strategic tooth can be transplanted into the socket of the extracted tooth (Autogenous Transplantation).
These seemingly radical but rather simple procedures offer predictably good outcomes when the biologic principles of tooth replantation are respected.
This lecture will review the procedures of Intentional Replantation/Transplantation in a contemporary context, as predictable means for retaining otherwise “untreatable” teeth to greatly benefit patients. Strict guidelines for case selection, a step-by-step protocol and a variety of clinical applications will be outlined and illustrated with typical cases. Treatment outcomes will also be highlighted for the various clinical applications of both procedures, as reported in case reports, cohort studies and systematic reviews.
Learning Objectives:
- Understand the biologic principles behind intentional replantation and autogenous tooth transplantation.
- Identify proper case selection criteria and clinical indications for advanced tooth-saving procedures.
- Learn step-by-step protocols and review outcome data for the successful implementation of these techniques.
…………………………………..
Biography
Dr. Shimon Friedman is Professor Emeritus at the Faculty of Dentistry, University of Toronto. He received the D.M.D. degree (1975) and endodontics certificate (1983) from the Hebrew University in Jerusalem, Israel. He is board-certified in endodontics in Israel and had served as Chairman of the Israel Endodontic Society from 1985 to 1988.
Prof. Friedman had served as Head of Endodontics in Toronto for 20 years (1992-2012), and as the founding Director of the MSc Program in Endodontics for 22 years (1993-2015). Under his leadership, the M.Sc. Endodontics Program at the University of Toronto has gained international recognition for its excellence.
Prof. Friedman has published over 250 peer-reviewed articles, textbook chapters and research abstracts, and has presented over 370 international lectures. He is ranked among the top 2% of cited researchers worldwide.
Prof. Friedman is the recipient of several awards, including 2006 Louis I. Grossman Award by the French Endodontic Society, 2008 Louis I. Grossman Award from the American Association of Endodontists (for “cumulative publication of significant research studies that have made an extraordinary contribution to endodontology”), 2013 W.W. Wood Award from the Association of Canadian Faculties of Dentistry (for “excellence in dental education”), 2014 Award of Distinction from the Faculty of Dentistry, University of Toronto, 2018 I.B. Bender Lifetime Educator Award from the American Association of Endodontists and Life Membership in the Omicron Kappa Upsilon Dental Fraternity, Tau Tau Chapter. In 2015, Prof. Friedman was designated an Honorary Diplomate of the Indian Board of Endodontics.
–> Register now for the Endo Summit