[Our Pick] Best Tooth-Saving Case of 2025 #Replantation #DrChoiYonghoon #ToothSaving

Saving a simple tooth is easy.

[Teeth That Are Easy to Save]

Teeth with a lot of periodontal ligament

Teeth with simple root shapes

Teeth that are easy to extract

Teeth without cracks or fractures

Teeth without periodontal disease

Teeth that are difficult to save are the complete opposite of these.

[Teeth That Are Difficult to Save]

Teeth that are difficult to extract

Teeth with cracks or fractures

Teeth with severe internal contamination

Teeth with large cavities

Teeth with damaged periodontal ligament

The patients who come to me are, of course, the ones with teeth that are difficult to save.

They have been told to have the tooth extracted, have gone from clinic to clinic for diagnoses, and heard that it's too hard. These are the teeth that gather at Pangyo.

If you've seen my blog or YouTube channel, you may have a vague idea, but

the two ultimate goals of my tooth-saving career are:

Saving teeth with cracks and fractures

2. Saving teeth with periodontal disease

Both are indeed difficult cases, but

in terms of periodontal ligament, the first one still gives me some hope.

That's because there may be a fracture, but the periodontal ligament is still there.

When the periodontal ligament is present, replantation yields good results.

That's why detailing aimed at boosting the vitality of the periodontal ligament is extremely important, from treatment design through the entire treatment process.

It's also the reason I replaced all my existing extraction instruments with ones imported from Canada.

The problem is the second one...

Saving a tooth without periodontal ligament is like making hair grow on a bald patient (no offense intended).

Regenerating periodontal ligament that has been completely destroyed by disease,

or fusing (ankylosing) the tooth root with the alveolar bone so the tooth becomes firm and functional,

has already been concluded to be nearly impossible.

Taking on teeth that are said to be impossible, attempting them, and producing results is the reward and the fun of this path.

But you can't know until you actually try it yourself.

I'm not sure how this will sound, but...

I learn an enormous amount from failure.

However, I can't simply do whatever I want on a patient's body.

Yet there are patients who insist that I at least give it a try.

The case I'm about to show is one of those...

By my conventional wisdom, it's a case I would have found hard to even consider attempting.

But because of the patient's strong hope and request, we went ahead and tried it,

and the result was so remarkable

that there was no question about it. I've selected it as the 2025 Tooth-Saving Case of the Year (our own pick).

If you look closely at the photos,

in the pre-treatment photo, this tooth not only has no periodontal ligament at all,

but the entire root surface is covered in calculus and bacteria.

A tooth like this can be pulled out by hand.

This tooth was re-implanted together with a bone graft and Emdogain,

and after 10 months, it has become stable enough to chew food.

Alveolar bone regeneration has also been quite satisfactory.

This case brings me one step closer to my lifelong dream of treating teeth with periodontal disease,

so I'm proud to present it as the 2025 Tooth-Saving Case of the Year.

For a detailed explanation, I recommend watching the YouTube video.

#ToothTransplant #WisdomToothTransplant #Replantation #DrChoiYonghoon #ToothSaving

Frequently Asked Questions

Which teeth are easier to save?

The article explains that teeth with a lot of periodontal ligament, simple root shapes, easy extraction, no cracks or fractures, and no periodontal disease are easier to save. The author considers teeth that are difficult to save to be the complete opposite.

What are the characteristics of teeth that are difficult to save?

Teeth that are hard to extract, have cracks or fractures, have severe internal contamination, have large cavities, or have damaged periodontal ligament are described as difficult to save. The author explains that these are the opposite conditions of teeth that are easy to save.

Can a tooth without periodontal ligament be saved?

The author explains that saving a tooth without periodontal ligament is extremely difficult. The author notes that regenerating a tooth whose periodontal ligament has been completely lost to disease, or making it functional through ankylosis, has already been concluded to be nearly impossible. However, in this case, the tooth was re-implanted with a bone graft and Emdogain and eventually achieved stability.

What is replantation?

In the article, replantation refers to re-implanting a tooth back into its socket. In this case, the re-implantation was performed together with a bone graft and Emdogain. The article focuses on the outcome and significance of the case rather than the detailed procedure.

What were the results 10 months after re-implantation?

The author reports that 10 months after re-implantation, the tooth was stable enough to chew food. The author describes alveolar bone regeneration as quite satisfactory and introduces this case as the 2025 self-selected tooth-saving case.

Where can I find a detailed explanation?

The author recommends watching the YouTube video for a detailed explanation. The author also mentions having already covered the goal of tooth preservation on the blog and YouTube channel.