Covid-19 Research

Case Report

OCLC Number/Unique Identifier:

Intentional Replantation and 3d Obturation with Biodentine of a Resorbed Root in Young People: A Case Report

Medicine Group    Start Submission

Giovanni Messina*, Luca Boschini, Luigi Stagno dAlcontres, Stefano Milani, Maria Elena Cipollina, Gaia Bonandi and Calogero Bugea

Dates: Received: 2021-09-14 | Accepted: 2021-09-20 | Published: 2021-09-29
Pages: 839-845


Referred patient 14 years old (in orthodontic treatment) for a suspected resorption on a 2.1 that was exposed to a trauma [1]. After an apical x ray, a cone beam was performed to have a complete diagnosis [2,3]. Almost the 80% of the root is resorbed, after achieving the parents’ consent to the treatment, was planned an intentional replantation [4] and a retrograde approach. In case like this the treatment’s goal is an intentional replantation to stop the root resorption, removing all the resorbing tissue and rebuild the root by biodentine’s use [5]. The tooth was replanted and splinted to the ortho appliances to allow a precise position of replantation. The final X ray control confirmed the correct rebuilding of the root anatomy. After two weeks the endodontic treatment was performed at all.

After 6 months the patient has completed the ortho treatment and the X ray control revealed a good response, the biodentine‘s stability and no sign of tissue inflammation.

Since the good preliminary results at six months of the intentional replantation with Biodentine root rebuilding, this treatment, in young patient, can be considered as a good option to the maintainability of the tooth till the adult age and to long lasting prosthetic treatments.

FullText HTML FullText PDF DOI: 10.37871/jbres1319

Certificate of Publication


© 2021 Messina G, et al. Distributed under Creative Commons CC-BY 4.0

How to cite this article

Messina G, Boschini L, d’Alcontres LS, Milani S, Cipollina ME, Bonandi G, Bugea C. Intentional Replantation and 3d Obturation with Biodentine of a Resorbed Root in Young People: A Case Report. J Biomed Res Environ Sci. 2021 Sept 29; 2(9): 839-845. doi: 10.37871/jbres1319, Article ID: JBRES1319, Available at:

Subject area(s)


  1. Santos BO, Mendoca DS, Sousa DL, Neto JJ, Araujo RB. Root resorption after dental traumas: Classification and clinical, radiographic and histologic aspects. Rev Bras Odontol 2011;8:439-45.
  2. Deliga Schröder ÂG, Westphalen FH, Schröder JC, Fernandes Â, Westphalen VPD. Accuracy of Digital Periapical Radiography and Cone-beam Computed Tomography for Diagnosis of Natural and Simulated External Root Resorption. J Endod. 2018 Jul;44(7):1151-1158. doi: 10.1016/j.joen.2018.03.011. Epub 2018 Jun 5. PMID: 29884337.
  3. Bhuva B, Barnes JJ, Patel S. The use of limited cone beam computed tomography in the diagnosis and management of a case of perforating internal root resorption. Int Endod J. 2011 Aug;44(8):777-86. doi: 10.1111/j.1365-2591.2011.01870.x. Epub 2011 Mar 4. PMID: 21371054.
  4. Tsukiboshi M. Autotransplantation of teeth: requirements for predictable success. Dent Traumatol. 2002 Aug;18(4):157-80. doi: 10.1034/j.1600-9657.2002.00118.x. PMID: 12442825.
  5. Malkondu Ö, Karapinar Kazandağ M, Kazazoğlu E. A review on biodentine, a contemporary dentine replacement and repair material. Biomed Res Int. 2014;2014:160951. doi: 10.1155/2014/160951. Epub 2014 Jun 16. PMID: 25025034; PMCID: PMC4082844.
  6. Wallace A, Rogers HJ, Zaitoun H, Rodd HD, Gilchrist F, Marshman Z. Traumatic dental injury research: on children or with children? Dent Traumatol. 2017 Jun;33(3):153-159. doi: 10.1111/edt.12299. Epub 2016 Aug 9. PMID: 27385489.
  7. Ritwik P, Massey C, Hagan J. Epidemiology and outcomes of dental trauma cases from an urban pediatric emergency department. Dent Traumatol. 2015 Apr;31(2):97-102. doi: 10.1111/edt.12148. Epub 2014 Nov 25. PMID: 25425231.
  8. Rodrigues Campos Soares T, de Andrade Risso P, Cople Maia L. Traumatic dental injury in permanent teeth of young patients attended at the federal University of Rio de Janeiro, Brazil. Dent Traumatol. 2014 Aug;30(4):312-6. doi: 10.1111/edt.12087. Epub 2013 Dec 2. PMID: 24289752.
  9. Nagori SA, Bhutia O, Roychoudhury A, Pandey RM. Immediate autotransplantation of third molars: an experience of 57 cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Oct;118(4):400-7. doi: 10.1016/j.oooo.2014.05.011. Epub 2014 Jun 2. PMID: 25183229.
  10. N Nasseh H, El Noueiri B, Pilipili C, Ayoub F. Evaluation of Biodentine Pulpotomies in Deciduous Molars with Physiological Root Resorption (Stage 3). Int J Clin Pediatr Dent. 2018 Sep-Oct;11(5):393-394. doi: 10.5005/jp-journals-10005-1546. Epub 2018 Oct 1. PMID: 30787552; PMCID: PMC6379528.
  11. Demars C, Fortier JP. Propos sur l’endodontie des dents tem-poraires. Actual Odontostomatol (Paris). 1981;35(134):213-224.
  12. Fortier JP, Demars-Fremault C. Abrégé de pédodontie. Masson, Paris: 1987.
  13. Trope M. Root resorption of dental and traumatic origin: classification based on etiology. Pract Periodontics Aesthet Dent. 1998 May;10(4):515-22. PMID: 9655059.
  14. Tronstad L. Root resorption--etiology, terminology and clinical manifestations. Endod Dent Traumatol. 1988 Dec;4(6):241-52. doi: 10.1111/j.1600-9657.1988.tb00642.x. PMID: 3078294.
  15. Fuss Z, Tsesis I, Lin S. Root resorption--diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003 Aug;19(4):175-82. doi: 10.1034/j.1600-9657.2003.00192.x. PMID: 12848710.
  16. Pruthi PJ, Dharmani U, Roongta R, Talwar S. Management of external perforating root resorption by intentional replantation followed by Biodentine restoration. Dent Res J (Isfahan). 2015 Sep-Oct;12(5):488-93. doi: 10.4103/1735-3327.166235. PMID: 26604965; PMCID: PMC4630715.
  17. Espona J, Roig E, Durán-Sindreu F, Abella F, Machado M, Roig M. Invasive Cervical Resorption: Clinical Management in the Anterior Zone. J Endod. 2018 Nov;44(11):1749-1754. doi: 10.1016/j.joen.2018.07.020. Epub 2018 Sep 19. PMID: 30243659.
  18. Neelakantan P, Ahmed HMA, Wong MCM, Matinlinna JP, Cheung GSP. Effect of root canal irrigation protocols on the dislocation resistance of mineral trioxide aggregate-based materials: A systematic review of laboratory studies. Int Endod J. 2018 Aug;51(8):847-861. doi: 10.1111/iej.12898. Epub 2018 Feb 23. PMID: 29377170.
  19. Patel S, Foschi F, Condon R, Pimentel T, Bhuva B. External cervical resorption: part 2 - management. Int Endod J. 2018 Nov;51(11):1224-1238. doi: 10.1111/iej.12946. Epub 2018 Jun 9. PMID: 29737544.
  20. Heithersay GS. Treatment of invasive cervical resorption: an analysis of results using topical application of trichloracetic acid, curettage, and restoration. Quintessence Int. 1999 Feb;30(2):96-110. PMID: 10356561.
  21. Patel S, Mavridou AM, Lambrechts P, Saberi N. External cervical resorption-part 1: histopathology, distribution and presentation. Int Endod J. 2018 Nov;51(11):1205-1223. doi: 10.1111/iej.12942. Epub 2018 Jun 1. PMID: 29704466.
  22. Eftekhar L, Ashraf H, Jabbari S. Management of Invasive Cervical Root Resorption in a Mandibular Canine Using Biodentine as a Restorative Material: A Case Report. Iran Endod J. 2017 Summer;12(3):386-389. doi: 10.22037/iej.v12i3.16668. PMID: 28808471; PMCID: PMC5527220.
  23. Kim E, Jung JY, Cha IH, Kum KY, Lee SJ. Evaluation of the prognosis and causes of failure in 182 cases of autogenous tooth transplantation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Jul;100(1):112-9. doi: 10.1016/j.tripleo.2004.09.007. PMID: 15953925.
  24. Andreasen JO. Interrelation between alveolar bone and periodontal ligament repair after replantation of mature permanent incisors in monkeys. J Periodontal Res. 1981 Mar;16(2):228-35. doi: 10.1111/j.1600-0765.1981.tb00970.x. PMID: 6453985.
  25. Hammarström L, Blomlöf L, Lindskog S. Dynamics of dentoalveolar ankylosis and associated root resorption. Endod Dent Traumatol. 1989 Aug;5(4):163-75. doi: 10.1111/j.1600-9657.1989.tb00354.x. PMID: 2517781.
  26. Lauridsen E, Hermann NV, Gerds TA, Kreiborg S, Andreasen JO. Pattern of traumatic dental injuries in the permanent dentition among children, adolescents, and adults. Dent Traumatol. 2012 Oct;28(5):358-63. doi: 10.1111/j.1600-9657.2012.01133.x. Epub 2012 Jul 17. PMID: 22805514.
  27. Andreasen FM, Pedersen BV. Prognosis of luxated permanent teeth--the development of pulp necrosis. Endod Dent Traumatol. 1985 Dec;1(6):207-20. doi: 10.1111/j.1600-9657.1985.tb00583.x. PMID: 3867505.
  28. Andreasen FM, Andreasen JO. Luxation injuries of permanent teeth: general findings. In: Andreasen, JO; Andreasen, FM; Andersson, L; editors. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Odder: Blackwell Munksgaard; 2007. p. 372-403.
  29. Soares Ade J, Gomes BP, Zaia AA, Ferraz CC, de Souza-Filho FJ. Relationship between clinical-radiographic evaluation and outcome of teeth replantation. Dent Traumatol. 2008 Apr;24(2):183-8. doi: 10.1111/j.1600-9657.2007.00528.x. PMID: 18352921.
  30. Lima TFR, Silva EJNLD, Gomes BPFA, Almeida JFA, Zaia AA, Soares AJ. Relationship between Initial Attendance after Dental Trauma and Development of External Inflammatory Root Resorption. Braz Dent J. 2017 Jan-Apr;28(2):201-205. doi: 10.1590/0103-6440201701299. PMID: 28492750.
  31. de Oliveira NG, de Souza Araújo PR, da Silveira MT, Sobral APV, Carvalho MV. Comparison of the biocompatibility of calcium silicate-based materials to mineral trioxide aggregate: Systematic review. Eur J Dent. 2018 Apr-Jun;12(2):317-326. doi: 10.4103/ejd.ejd_347_17. PMID: 29988207; PMCID: PMC6004803.
  32. Bastos JV, Ilma de Souza Côrtes M, Andrade Goulart EM, Colosimo EA, Gomez RS, Dutra WO. Age and timing of pulp extirpation as major factors associated with inflammatory root resorption in replanted permanent teeth. J Endod. 2014 Mar;40(3):366-71. doi: 10.1016/j.joen.2013.10.009. Epub 2013 Nov 14. PMID: 24565654.
  33. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Pediatr Dent. 2017 Sep 15;39(6):412-419. doi: 10.1111/j.1600-9657.2012.01125.x. PMID: 29179383.
  34. Hupp JG, Mesaros SV, Aukhil I, Trope M. Periodontal ligament vitality and histologic healing of teeth stored for extended periods before transplantation. Endod Dent Traumatol. 1998 Apr;14(2):79-83. doi: 10.1111/j.1600-9657.1998.tb00815.x. PMID: 9558520.
  35. Ahangari Z, Nasser M, Mahdian M, Fedorowicz Z, Marchesan MA. Interventions for the management of external root resorption. Cochrane Database Syst Rev. 2015 Nov 24;2015(11):CD008003. doi: 10.1002/14651858.CD008003.pub3. PMID: 26599212; PMCID: PMC7185846.
  36. Heithersay GS. Management of tooth resorption. Aust Dent J. 2007 Mar;52(1 Suppl):S105-21. doi: 10.1111/j.1834-7819.2007.tb00519.x. PMID: 17546866.


Swift, Reliable, and studious. We aim to cherish the world by publishing precise knowledge.

  • Brown University Library
  • University of Glasgow Library
  • University of Pennsylvania, Penn Library
  • University of Amsterdam Library
  • The University of British Columbia Library
  • UC Berkeley’s Library
  • MIT Libraries
  • Kings College London University
  • University of Texas Libraries
  • UNSW Sidney Library
  • The University of Hong Kong Libraries
  • UC Santa Barbara Library
  • University of Toronto Libraries
  • University of Oxford Library
  • Australian National University
  • ScienceOpen
  • UIC Library
  • KAUST University Library
  • Cardiff University Library
  • Ball State University Library
  • Duke University Library
  • Rutgers University Library
  • Air University Library
  • UNT University of North Texas
  • Washington Research Library Consortium
  • Penn State University Library
  • Georgetown Library
  • Princeton University Library
  • Science Gate
  • Internet Archive
  • WashingTon State University Library
  • Dimensions
  • Zenodo
  • OpenAire
  • Index Copernicus International
  • icmje
  •  International Scientific Indexing (ISI)
  • Sherpa Romeo
  • ResearchGate
  • Universidad De Lima
  • WorldCat
  • JCU Discovery
  • McGill
  • National University of Singepore Libraries
  • SearchIT
  • Scilit
  • SemantiScholar
  • Base Search
  • VU
  • KB
  • Publons
  • oaji
  • Harvard University
  • sjsu-library
  • UWLSearch
  • Florida Institute of Technology
  • CrossRef
  • LUBsearch
  • Universitat de Paris
  • Technical University of Denmark
  • ResearchBIB
  • Google Scholar
  • Microsoft Academic Search