espanolEl objetivo del reimplante intencional, es mantener en boca un organo dental que de otra manera deberia ser extraido debido a complicaciones especificas de la pieza o por decision particular del paciente. Se presenta el caso de un paciente masculino de 35 anos de edad que acude a consulta por presentar dolor e inflamacion en region maxilar derecha acompanado de fractura de premolar en el area, al examen radiografico se observa zona radiolucida periapical asociada a las raices vestibular y palatina escogiendose como alternativa de tratamiento el reimplante intencional. Se programan controles clinicos y radiograficos a los 15 dias, 40 dias, seis meses, y un ano postquirurgicos observando evidencia de remodelado oseo, un sondaje de 3mm y ausencia de sintomatologia dolorosa y reabsorcion dental. Los resultados observados en este caso sugieren que esta opcion de tratamiento podria ser empleada en casos donde se presentan complicaciones que impiden el abordaje endodontico convencional o quirurgico y donde las posibilidades de conservar el diente en boca son escasas. EnglishThe objective of the intentional replantation is to keep a tooth in mouth that otherwise should be extracted due to its specific complications or due to the patient decision. This is a case report presented in a 35-year-old male patient with complaint of discomfort and sensitivity in the maxillary right area and premolar fracture, radiograph examination revealed a large periapical radiolucent area surrounding both buccal and palatine roots, intentional replantation was suggested as an alternative to save the tooth. The patient returned for clinical and radiographic follow-up at 15 days, 40 days, 6 months and 12 months, x-ray shows good apical healing and no evidence of root resorption, no painful symptomatology was reported, probing depth was no greater than 3 mm. The results observed after this procedure show that intentional replantation could be used when complications do not allow a conventional endodontic or surgical approach and the possibilities to maintain a tooth in mouth is low.
