S-06 Intentional Replantation 2.0 - Normalizing a Niche Technique

CE Hours: 1.0

Description: This presentation highlights the ongoing transformation of Intentional Replantation from a "last-resort, heroic" procedure into a predictable treatment option that should be actively included in the clinical armamentarium of modern endodontists. Through clinical cases, we will demonstrate how appropriate case selection and advances in diagnosis, atraumatic extraction techniques, and extra-oral handling now allow IR to be offered as a viable alternative in scenarios where traditional retreatment or apical surgery are impractical or carry a limited prognosis. We will review current indications and contraindications, discuss risks and expected outcomes, and walk through step-by-step management based on real-life cases. The presentation will also review the latest literature supporting this shift in mindset and clinical practice. The goal is to normalize IR as a standard, evidence-based treatment option, rather than a last-chance intervention, and to empower clinicians to confidently consider and offer IR when appropriate.

Learning Objectives:  

• List updated indications and contraindications for Intentional Replantation.
• Describe a step-by-step protocol, including extraction, extra-oral handling, and reinsertion.
• Summarize contemporary evidence and clinical outcomes that support earlier use of IR in treatment planning.