Intentional Replantation Revisited

5 (3 votes)

CE Hours: 2.0 CE hour 


Intentional Replantation or Re-implantation has traditionally been thought of as the “treatment of last resort” because of the difficulties in extracting, handling and successfully replanting the tooth. The replanted tooth was often lost to resorption shortly after the procedure, usually from the desiccation of the periodontal ligament. This technique has been modified by the presenter to significantly reduce this root surface event. The resection, preparation and filling of the root end are achieved while the remainder of the tooth is immersed in a tissue culture solution. This satisfies the nutritional requirements of the cells populating the root surface, and considerably extends the extra-oral period. This multi-media presentation outlines in detail the modified technique via case presentation and examines the success rate with recall periods of 3-20 years.

  • Appraise via 2 and 3-D imaging the triage and feasibility of the selected tooth for successful harvest and replantation.
  • Describe the sequences and techniques for the extraction, handling and replantation of the tooth, and the proper care of the alveolus. 
  • Identify potential sources of complications and discuss their remedies.


Open to view video.
7 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
2.00 CE credits  |  Certificate available
2.00 CE credits  |  Certificate available

Stephen P. Niemczyk, D.M.D.

Dr. Niemczyk graduated from the University of Pennsylvania School Of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at Albert Einstein Medical Center in Philadelphia and was recently named the Assistant Post Graduate Director in 2018. He also serves as a surgical consultant to the Naval Postgraduate Endodontic Program in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA. Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the JOE and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.

Stephen P. Niemczyk, D.M.D. 

In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: Honorarium/gift (Dentsply Sirona).