Study on Treatment Results and Bone Changes After Replanting Severely Affected Teeth - A Before-and-After 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.

Inclusion Criteria: 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. Exclusion Criteria: * Previous history of failed IR. * Severe anatomical limitations in the treatment area. * Unwillingness to adhere to follow-up protocols