Assessment of Treatment Outcomes and Alveolar Bone Changes Following Intentional Replantation of Hopeless Periodontally Involved Single-Rooted Teeth - A Pre-test, Post-test Interventional Study
This research aims to evaluate the effectiveness of intentional replantation (IR) as a treatment for single-rooted teeth diagnosed as hopeless due to true periodontic lesions. The study will assess changes in alveolar bone and periodontal tissues, symptom resolution, and patient-reported outcomes (satisfaction and quality of life) following the procedure. Cone beam computed tomography (CBCT) imaging will be used to track radiographic changes at baseline and 9 months, while clinical examinations will monitor symptom resolution, including pain, swelling, and tooth mobility. The study is a single-arm pre-test, post-test interventional design conducted at the College of Dentistry, University of Science and Technology Fujairah (new name: University of Fujairah). Participants will include adults aged 18-70 with single-rooted teeth deemed hopeless due to periodontic lesions. Participants will undergo intentional replantation, and data will be collected through clinical examinations, radiographic images, and patient questionnaires at baseline and 9 months. Statistical analysis will compare pre- and post-treatment outcomes using paired-samples t-tests or Wilcoxon signed-rank tests, depending on data normality. The study aims to provide a comprehensive evaluation of intentional replantation, contributing valuable insights into its clinical effectiveness for managing complex dental conditions.
⁃ Patients meeting the specified criteria will be included in the study.
• The patients with American Society of Anesthesiologists physical status classification 1 and 2.
• Radiographic bone loss of at least 50% around the targeted tooth.
• Probing depth of at least 5 millimetres around the targeted tooth.
• Grade III mobility (extreme mobility) of the targeted tooth according to Miller's classification.
• Grade II mobility or less (minimal to slight increased mobility without functional impairment) of adjacent teeth.
• Distance between the targeted tooth and adjacent teeth less than 2 millimetres.
• Patient preference for tooth retention through intentional replantation over extraction.