Reimplante intencional con colocación de membrana de plasma rico en fibrina. Revisión de la literatura: a propósito de un caso

Abstract

Background: Intentional replantation is a dental technique that involves the extraction of a tooth, its extraoral management, and subsequent reinsertion into its original socket. The success of the procedure largely depends on factors such as careful handling of the periodontal ligament (PDL) and minimizing the extraoral exposure time of the tooth. Objective: to describe a clinical case of intentional reimplantation supplemented with advanced fibrin-rich plasma membrane (A-PRF) as a conservative therapeutic alternative, and to contextualize its application through a review of the literature. Methods: This article is based on a clinical case report supported by a literature review. The study complies with ethical standards, as the patient provided informed consent for the surgical procedure as well as for the use and publication of clinical data. Results: Intentional replantation in combination with the A-PRF membrane demonstrated satisfactory clinical outcomes during a 30-month follow-up period. The results suggest that this technique may serve as a viable therapeutic option for tooth preservation. The patient remained asymptomatic, showed no signs of pathological mobility, and presented satisfactory dental stability at 2 years and 6 months post-treatment. Conclusion: Intentional replantation with the application of an A-PRF membrane proved to be a safe procedure, yielding favorable long-term outcomes. These findings support its consideration as a viable and effective therapeutic alternative in cases involving apical lesions and significant bone loss.