Rahaf Saud Alsulaimani*1, Arwa Khader Alzahrani2, Rania H. Mahmoud Said2,3, Mohammed Abdulwahhab Sunbul4, Samia Elsherief2,5
1 Orthodontics and Dentofacial Orthopedics resident, Jeddah Specialty Dental Center, Ministry of Health, Jeddah, Saudi Arabia
2 Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
3 Faculty of Dentistry, Suez Canal University, Egypt
4 Consultant Endodontist, King Faisal Hospital, Makkah
5 Faculty of Dentistry, Cairo University
Volume: 8 | Issue: 2 | Pages: 55-60 | December 2022 | https://doi.org/10.54940/ms18750825 | PDF
Submitted: 16 March 2022 | Accepted: 17 April 2022 | First online: 15 November 2022
Abstract
Background:
A re-implanted maxillary 2nd molar with amalgam retrograde filling material was retained for 13 years. Histopathologic and Microbiologic investigations to reveal reasons for retaining and subsequent failure.
Material and methods:
The tooth was intentionally re-implanted 13 years ago with a retrograde amalgam filling material. After extraction of the tooth serial sections were done and stained with Hematoxylin and eosin stain (H&E) and Gram stains.
Results:
Histopathologic sections revealed cellular cementum deposition at the apex of the tooth. Sharpey's fibers were attached to the cementum. Granulation tissue was obvious around the apex of the tooth. Gram stain revealed accumulation of micro-organisms inside dentinal tubules, especially at the apex.
Conclusion:
The amalgam used as retrograde filling material, in this case, was retained for thirteen years and subsequent failure might be attributed to the invasion of a microorganism after a crown fracture.
Keywords
Intentional replantation, amalgam, root-end filling, retrograde filling, periodontal attachment, endodontic.
How to Cite
Alsulaimani et al. (December 2022) 'Histopathologic and Microbiologic Investigations for Thirteen-Years Intentionally re-Implanted Maxillary Second Molar, A Case Report.,' Journal of Umm Al-Qura University for Medical Sciences, 8(2), pp.55–60.https://doi.org/10.54940/ms18750825