Management of Extruded Gutta Percha by Intentional Replantation: A Case Report

Aishwarya Singh, Rohit Kochhar, Manju Kumari, Mansi Punjabi

Abstract: Persistence of bacterial infection after root canal treatment and presence of preoperative periapical rarefaction are the key reasons of root canal treatment failure. Endodontic failure could occur due to incomplete obturation, root resorption/ perforation, grossly overfilled canals and broken instruments. When non-surgical retreatment and apical surgery fail to treat the periapical pathology, intentional replantation may be considered as a treatment modality with a success rate of 91% that may be attributed to superior root-end filling materials and innovations in endodontic surgery. This case report highlights the successful outcome of Intentional Replantation in a complex case with poor prognosis.

Keywords: Intentional replantation, Case report, MTA, Extruded guttapercha, Iatrogenic error