Algorithm For The Replantation Procedure Following Extraction of The Causative Tooth in Acute and Chronic Osteitis

S.N. Shodiev; F.I. Tozhiev

doi:10.31149/ijimm.v4i5.2914

Authors

S.N. Shodiev Tashkent State Medical University
F.I. Tozhiev Tashkent State Medical University

DOI:

https://doi.org/10.31149/ijimm.v4i5.2914

Keywords:

Osteitis, Tooth Replantation, Odontogenic Infection, Alveolar Process, Endodontic Treatment, Surgical Dentistry, Jawbone Tissue, Inflammatory Diseases

Abstract

Acute and chronic osteitis of the jawbone represents a severe odontogenic inflammatory condition that often leads to progressive destruction of bone tissue and loss of the causative tooth. Traditional treatment strategies primarily focus on extraction of the affected tooth, which frequently results in functional and aesthetic defects of the dentoalveolar system. In this context, tooth replantation after extraction has emerged as an organ-preserving alternative aimed at maintaining natural dentition and restoring normal masticatory function. This study presents a comprehensive algorithm for replantation in patients with acute and chronic osteitis based on modern diagnostic and surgical principles. The approach integrates advanced imaging techniques, including cone-beam computed tomography, microbiological assessment, and evaluation of periodontal microcirculation, to improve patient selection and treatment planning. Surgical intervention includes atraumatic extraction, thorough debridement of infected tissues, endodontic treatment of the extracted tooth, and retrograde root canal filling with biocompatible materials followed by replantation and stabilization. Clinical outcomes demonstrate high rates of successful healing and osteointegration, with significant improvement in functional recovery compared to conventional extraction methods. The proposed algorithm reduces postoperative complications, preserves alveolar bone structure, and enhances long-term prognosis. These findings support the effectiveness of tooth replantation as a viable and reliable treatment option for managing odontogenic osteitis in appropriately selected patients.

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