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Sans FA, Vidal-Ponsoda C, Caponi LQ, Cayón MR, Nagendrababu V. Computer-aided design and computer-aided manufacturing poly (methyl methacrylate) interim veneers for immediate esthetic restoration of autotransplanted teeth. Dent Traumatol 2024; 40:325-332. [PMID: 37990814 DOI: 10.1111/edt.12910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/25/2023] [Accepted: 10/26/2023] [Indexed: 11/23/2023]
Abstract
Autotransplanted teeth in the maxillary anterior region should be restored or reshaped as soon as possible for functional and esthetic reasons as well as the well-being of the patient. However, such tooth restorations are frequently not carried out immediately after tooth transplantation because the process could have a negative impact on the healing process. The development of a simple, immediate, and atraumatic esthetic interim restoration would be of great benefit to both the clinician and patient and address all the concerns caused by immediately preparing the tooth postoperatively and cementing a permanent restoration. This report describes the use of CAD-CAM technology to create poly (methyl methacrylate) veneers preoperatively that can be cemented extraorally on the extracted donor tooth for the immediate and interim recontouring of autotransplanted anterior teeth.
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Affiliation(s)
- Francesc Abella Sans
- Department of Endodontics, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Carla Vidal-Ponsoda
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Lucas Queiroz Caponi
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
- Private practice, San Benedetto del Tronto, Italy
| | - Miguel Roig Cayón
- Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Venkateshbabu Nagendrababu
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, UAE
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Louropoulou A, Andreasen JO, Leunisse M, Eggink E, Linssen M, Van der Weijden F, Barendregt D. An evaluation of 910 premolars transplanted in the anterior region-A retrospective analysis of survival, success, and complications. Dent Traumatol 2024; 40:22-34. [PMID: 37731296 DOI: 10.1111/edt.12887] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 08/23/2023] [Accepted: 08/31/2023] [Indexed: 09/22/2023]
Abstract
AIM The aim this retrospective analysis was to evaluate the survival, success and possible complications of transplanted premolars to the anterior region subdivided in development stage and patient's age. MATERIALS AND METHODS The material comprised patients that underwent a tooth transplantation between April 2004 and December 2021. A total of 910 premolars were transplanted in 707 patients. Tooth mobility, oral hygiene, and periodontal parameters were clinically evaluated. Standardized radiographs were used to evaluate pulpal and periodontal healing and root formation. The cumulative survival rate was calculated using the Kaplan-Meier method. RESULTS The data were subdivided in three groups based on the stage of root development and patient's age. The average age at surgery was 16 years. The main indication for transplantation was trauma, followed by agenesis and other indications. Two premolars were lost during the whole observation period. The overall survival and success in the immature premolars group after an observation period of 10 years was 99.8%. The 10-year survival and success rate when fully developed premolars were transplanted in the anterior region in adolescents were 100% and 96.3%, respectively. In adults, the 10-year survival and success rate were 87.5%. CONCLUSION Transplantation of premolars with developing and fully developed roots to the anterior region in children, adolescents, and adults is a predictable treatment modality.
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Affiliation(s)
- Anna Louropoulou
- Proclin Rotterdam, Clinic for Periodontology, Endodontics and Restorative Dentistry, Rotterdam, The Netherlands
- Clinic for Periodontology, Utrecht, The Netherlands
| | - Jens Ove Andreasen
- Department of Oral and Maxillofacial Surgery, University Hospital in Copenhagen (Rigshospitalet), Copenhagen, Denmark
| | | | - Edwin Eggink
- Proclin Rotterdam, Clinic for Periodontology, Endodontics and Restorative Dentistry, Rotterdam, The Netherlands
| | - Marcel Linssen
- Proclin Rotterdam, Clinic for Periodontology, Endodontics and Restorative Dentistry, Rotterdam, The Netherlands
| | - Fridus Van der Weijden
- Clinic for Periodontology, Utrecht, The Netherlands
- Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
| | - Dick Barendregt
- Proclin Rotterdam, Clinic for Periodontology, Endodontics and Restorative Dentistry, Rotterdam, The Netherlands
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Pattanshetti C, Sankeshwari B, Shinde S, Kadam P, Kadam H, Shirkande A. Clinical Assessment of Immediate Autotransplantation of Mandibular Third Molars: An In Vivo Study. Cureus 2023; 15:e41293. [PMID: 37539402 PMCID: PMC10394477 DOI: 10.7759/cureus.41293] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 06/21/2023] [Indexed: 08/05/2023] Open
Abstract
INTRODUCTION Transplanting a tooth from one area of the mouth to another is known as autogenous tooth transplantation. It is a great choice for restoring young patients' teeth with developing alveolar bone because it uses the patient's own tooth as the replacement rather than a false one. This study aims to evaluate pain, infection, mobility, resorption, ankylosis, and success rate in the replacement of mandibular non-restorable molars through an immediate autotransplantation of the nonfunctional impacted mandibular third molar. MATERIALS AND METHODS In this in vivo study, 20 patients between the ages of 22 and 50 were selected. The cases in which the first or second mandibular molar was nonrestorable and had an impacted third molar for transplantation were selected. In all the cases, the nonrestorable molar was extracted and replaced with a nonfunctional, impacted third molar. All the cases were evaluated for pain, infection, mobility, ankylosis, and resorption at the postoperative second week, one month, third month, and six months. The pain was assessed on the visual analog scale (VAS), infection was assessed by the presence of purulent discharges, mobility was assessed on a clinical examination of tooth movements, ankylosis was seen radiographically as the obliteration of the periodontal ligament space, and the absence of the lamina dura and resorption were seen radiographically as radiolucency on the root surface. All the readings were tabulated and statistically analyzed. RESULTS Pain was seen to be maximal at two weeks and minimum at six months. Infection was not seen at all time intervals. Mobility was reduced with time. There was no significant ankylosis or resorption. Out of the 20 cases, four patients required extractions due to resorption and grade 3 mobility. One patient showed ankylosis. The success rate of the autotransplantation was 75%. Fifteen patients showed well-defined lamina dura without ankylosis or resorption. CONCLUSION Autotransplantation is a valuable tooth replacement option and more economical, especially when provided with proper case selection.
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Affiliation(s)
| | | | - Santaji Shinde
- Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital, Sangli, IND
| | - Poornima Kadam
- Pathology, Bharati Vidyapeeth Medical College and Hospital, Sangli, IND
| | - Harshawardhan Kadam
- Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital, Sangli, IND
| | - Amol Shirkande
- Orthodontics and Dentofacial Orthopaedics, Bharati Vidyapeeth Dental College and Hospital, Sangli, IND
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Plotino G, Abella Sans F, Duggal MS, Grande NM, Krastl G, Nagendrababu V, Gambarini G. Present status and future directions ‐ Surgical extrusion, intentional replantation, and tooth autotransplantation. Int Endod J 2022; 55 Suppl 3:827-842. [DOI: 10.1111/iej.13723] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 03/03/2022] [Accepted: 03/04/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Gianluca Plotino
- Department of Endodontics "Sapienza" ‐ University of Rome Rome Italy
| | - Francesc Abella Sans
- Department of Endodontics Universitat Internacional de Catalunya Barcelona Spain
| | - Monty S Duggal
- Faculty of Dentistry National University Health System Singapore
| | - Nicola M Grande
- Department of Endodontics Catholic University of Sacred Heart Rome Italy
| | - Gabriel Krastl
- Department of Conservative Dentistry and Periodontology and Center of Dental Traumatology University Hospital of Würzburg Würzburg Germany
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Influence of Static Navigation Technique on the Accuracy of Autotransplanted Teeth in Surgically Created Sockets. J Clin Med 2022; 11:jcm11041012. [PMID: 35207285 PMCID: PMC8879114 DOI: 10.3390/jcm11041012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 02/10/2022] [Accepted: 02/13/2022] [Indexed: 12/04/2022] Open
Abstract
The aim of this study was to analyse and compare the position of single-rooted autotransplanted teeth using computer-aided SNT drilling and conventional freehand (FT) drilling, by comparing the planned and performed position at the coronal, apical and angular level. Materials and methods: Forty single-root upper teeth were selected and distributed into the following study groups: A. Autotransplanted tooth using the computer-aided static navigation technique (SNT) (n = 20) and B. Autotransplanted tooth using the conventional free-hand technique (FT) (n = 20). Afterwards, the teeth were embedded into two experimental models and 10 single-root upper teeth were randomly autotransplanted in each experimental model. The experimental models were submitted to a preoperative cone-beam computed tomography (CBCT) scan and a digital impression by a 3D intraoral scan, in addition to a postoperative CBCT scan, after the autotransplantation. Datasets from postoperative CBCT scans of the two study groups were uploaded to the 3D implant planning software, aligned with the autotransplantation planning, and the coronal, apical and angular deviations were measured. The results were analysed using Student’s t-test and Mann–Whitney non-parametric statistical analysis. Results: Coronal (p = 0.079) and angular (p = 0.208) statistical comparisons did not present statistically significant differences; however, statistically significant differences between the apical deviation of the SNT and FT study groups (p = 0.038) were also observed. Conclusions: The computer-aided static navigation technique does not provide higher accuracy in the positioning of single-root autotransplanted teeth compared to the conventional free-hand technique.
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Mandibular premolar transplantation to replace missing maxillary anterior teeth: A multidisciplinary approach. Am J Orthod Dentofacial Orthop 2021; 160:459-472. [PMID: 34334269 DOI: 10.1016/j.ajodo.2020.06.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Revised: 05/01/2020] [Accepted: 06/01/2020] [Indexed: 11/20/2022]
Abstract
One of the most challenging problems for orthodontists is that of multiple missing maxillary teeth in a growing patient. In many patients, a good treatment option is autotransplantation. This case report describes the multidisciplinary treatment of an 11-year-old girl with regional odontodysplasia affecting the maxillary right and left central incisors, and congenitally missing maxillary left lateral incisor and canine. Autotransplantation of the mandibular second premolars to the affected area was combined with orthodontic space closure, and the transplanted premolars were reshaped and restored with a resin composite to be in line with the left central and lateral incisors. After completion of the orthodontic treatment, gingivectomy was performed to obtain an even gingival contour and symmetrical gingival tissue. Space closure of the maxillary anterior teeth was achieved. Autotransplantation enabled the patient to retain her natural teeth rather than having a prosthesis or dental implant. The autotransplanted tooth allows for alveolar bone growth in synchrony with neighboring teeth and the formation of normal interdental papilla while adapting to functional stimuli and confers a high survival rate in the long term.
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Schneider UEM, Moser L. Orthodontic space closure in a young female patient with solitary median maxillary central incisor syndrome. Am J Orthod Dentofacial Orthop 2021; 160:132-146. [PMID: 33941416 DOI: 10.1016/j.ajodo.2020.05.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 05/01/2020] [Accepted: 05/01/2020] [Indexed: 10/21/2022]
Abstract
A solitary median maxillary incisor can occur as a rare single dental anomaly or a symptom of the early-intrauterine developmental brain disorder of holoprosencephaly. The few published case reports about orthodontic treatment for this disorder have only described space opening for prosthodontic replacement of a central incisor. In contrast, the present patient was treated with extraction of the solitary median maxillary central incisor and orthodontic space closure with subsequent minimally invasive restorations in order to avoid looming esthetic or periodontal sequelae associated with any type of fixed bridgework or implant-borne crowns in the sensitive maxillary anterior area-which is especially indicated in young girls with a hyperdivergent growth pattern.
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Affiliation(s)
- Ute E M Schneider
- Private Practice, Bolzano and University of Ferrara, Ferrara, Italy.
| | - Lorenz Moser
- Private Practice, Bolzano and University of Ferrara, Ferrara, Italy
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Plotino G, Abella Sans F, Duggal MS, Grande NM, Krastl G, Nagendrababu V, Gambarini G. Clinical procedures and outcome of surgical extrusion, intentional replantation and tooth autotransplantation – a narrative review. Int Endod J 2020; 53:1636-1652. [DOI: 10.1111/iej.13396] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Revised: 08/23/2020] [Accepted: 08/24/2020] [Indexed: 12/19/2022]
Affiliation(s)
- G. Plotino
- Department of Endodontics “Sapienza” – University of Rome Rome Italy
| | - F. Abella Sans
- Department of Endodontics Universitat Internacional de Catalunya Barcelona Spain
| | - M. S. Duggal
- Faculty of Dentistry National University Health System Singapore City Singapore
| | - N. M. Grande
- Department of Endodontics Catholic University of Sacred Heart Rome Italy
| | - G. Krastl
- Department of Conservative Dentistry and Periodontology and Center of Dental Traumatology University Hospital of Würzburg Würzburg Germany
| | - V. Nagendrababu
- Division of Clinical Dentistry School of Dentistry International Medical University Kuala Lumpur Malaysia
| | - G. Gambarini
- Department of Endodontics “Sapienza” – University of Rome Rome Italy
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Czochrowska EM, Plakwicz P. Guidelines for autotransplantation of developing premolars to the anterior maxilla. Semin Orthod 2020. [DOI: 10.1053/j.sodo.2020.01.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Abela S, Murtadha L, Bister D, Andiappan M, Kwok J. Survival probability of dental autotransplantation of 366 teeth over 34 years within a hospital setting in the United Kingdom. Eur J Orthod 2019; 41:551-556. [PMID: 31144709 DOI: 10.1093/ejo/cjz012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
INTRODUCTION The purpose of this retrospective study was to evaluate 34 years' experience of autotransplantation of teeth during orthodontic treatment. METHODOLOGY Treatment was completed at Queen Mary's Hospital, Sidcup, Kent, UK, during the period 1969-2003. A total of 366 teeth were transplanted in 314 patients. RESULTS Canines totalled 78 per cent of all autotransplanted teeth; mean age of patient was 19.4 years. Survival probability for the first 5 years post-autotransplantation was 95 per cent, 94 per cent for the subsequent 5 years, and 88 per cent after 15 years. The maximum observation period was 34 years, the median was 2.0 years, and the mean was 3.51 (standard deviation = 3.68) years. Of the observed teeth, 10 failed and these were lost due to unsuccessful periodontal ligament regeneration and persistent mobility grade III (or greater). Apical pathology was observed in 16 per cent of all autotransplanted teeth. In 79 per cent of this subgroup, apical pathology was evident in the first 3 years post-operatively. Seventy per cent of all external resorption also occurred within the first 3 years. Internal resorption was rare but its occurrence was mostly observed between the second and sixth year post-transplantation. A minority of autotransplanted teeth [14 per cent (n = 51)] needed root canal therapy, and this was completed within the first 6 months post-transplantation. CONCLUSIONS Autotransplantation can be a justified procedure with good survival probability. It can be considered an alternative to other treatments, such as prosthodontic replacement of teeth.
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Affiliation(s)
- Stefan Abela
- Department of Orthodontics, Guy's and St Thomas NHS Foundation Trust, London, UK
| | - Linda Murtadha
- Department of Oral Surgery, Guy's and St Thomas NHS Foundation Trust, London, UK
| | - Dirk Bister
- Department of Orthodontics, Guy's and St Thomas NHS Foundation Trust, London, UK
| | - Manoharan Andiappan
- Department of Biostatistician, Centre for Host-Microbiome Interactions, Faculty of Dentistry, Oral and Craniofacial Sciences, Kings College London, London, UK
| | - Jerry Kwok
- Department of Oral Surgery, Guy's and St Thomas NHS Foundation Trust, London, UK
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Kamio T, Kato H. Autotransplantation of Impacted Third Molar Using 3D Printing Technology: A Case Report. THE BULLETIN OF TOKYO DENTAL COLLEGE 2019; 60:193-199. [DOI: 10.2209/tdcpublication.2018-0058] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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12
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Virtual Simulation of Autotransplantation Using 3-dimensional Printing Prototyping Model and Computer-assisted Design Program. J Endod 2018; 44:1883-1888. [DOI: 10.1016/j.joen.2018.08.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Revised: 07/19/2018] [Accepted: 08/16/2018] [Indexed: 12/28/2022]
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13
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Winitsky N, Olgart K, Jemt T, Smedberg JI. A retro-prospective long-term follow-up of Brånemark single implants in the anterior maxilla in young adults. Part 1: Clinical and radiographic parameters. Clin Implant Dent Relat Res 2018; 20:937-944. [DOI: 10.1111/cid.12673] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 08/15/2018] [Accepted: 08/21/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Nicole Winitsky
- Department of Prosthetic Dentistry; Folktandvården Eastman Institute; Stockholm Sweden
- Division of Prosthetic Dentistry, Department of Dental Medicine; Karolinska Institute; Stockholm Sweden
| | - Kerstin Olgart
- Department of Prosthetic Dentistry; Folktandvården Eastman Institute; Stockholm Sweden
| | - Torsten Jemt
- Department of Prosthetic Dentistry/Dental Material Science, Institute of Odontology; Sahlgrenska Academy at Göteborg University; Göteborg Sweden
- Brånemark Clinic, Public Dental Health Service; Region of Västra Götaland Sweden
| | - Jan-Ivan Smedberg
- Department of Prosthetic Dentistry; Folktandvården Eastman Institute; Stockholm Sweden
- Division of Prosthetic Dentistry, Department of Dental Medicine; Karolinska Institute; Stockholm Sweden
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Rohof ECM, Kerdijk W, Jansma J, Livas C, Ren Y. Autotransplantation of teeth with incomplete root formation: a systematic review and meta-analysis. Clin Oral Investig 2018; 22:1613-1624. [PMID: 29525924 PMCID: PMC5906482 DOI: 10.1007/s00784-018-2408-z] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Accepted: 03/01/2018] [Indexed: 11/05/2022]
Abstract
OBJECTIVES The objective of this systematic review and meta-analysis was to determine the rates of survival and success and the complications related to autotransplantation of teeth with incomplete root formation. Additionally, we attempted to identify the prognostic factors that influence the outcome of tooth autotransplantation. MATERIALS AND METHODS A literature search for all data published until July 2016 was conducted. Inclusion and exclusion criteria were specified. Risk of bias was assessed with the Newcastle checklist. Meta-analysis was performed by using the DerSimonian-Laird random effect model. The 1-, 5-, and 10-year survival rates and the weighted estimated survival, success, and complication rates per year were calculated. RESULTS Thirty-two studies were included for analysis. The survival rates reported after 1, 5, and 10 years were 97.4, 97.8, and 96.3%, respectively. The annual weighted estimated survival rate (98.2%), success rate (96.6%), and complication rates in terms of ankylosis (2.0%), root resorption (2.9%), and pulp necrosis (3.3%) were analyzed. No firm conclusions could be drawn with respect to the prognostic factors due to insufficient evidence of high quality. CONCLUSION The survival and success rates of autotransplantation of teeth with incomplete root formation were high (> 95%), with a low rate of complications (< 5%). CLINICAL RELEVANCE Current evidence from the literature on autotransplantation of teeth with incomplete root formation shows favorable survival and success rates and low complication rates, indicating it is a reliable treatment option.
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Affiliation(s)
- Evelyn C M Rohof
- Department of Orthodontics, University Medical Center Groningen, Hanzeplein 1 - BB72, NL, 9700 RB, Groningen, The Netherlands
| | - Wouter Kerdijk
- Department of Public and Individual Oral Health, Center for Dentistry and Oral Hygiene University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Johan Jansma
- Department of Oral & Maxillofacial Surgery, University Medical Center Groningen, Groningen, The Netherlands
| | | | - Yijin Ren
- Department of Orthodontics, University Medical Center Groningen, Hanzeplein 1 - BB72, NL, 9700 RB, Groningen, The Netherlands.
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De Muynck S, Verdonck A, Schoenaers J, Carels C. Combined Surgical/Orthodontic Treatment and Autotransplantation of a Premolar in a Patient with Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J 2017; 41:447-55. [PMID: 15222787 DOI: 10.1597/03-026.1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective The treatment of a patient with a complete unilateral left cleft lip and palate, agenesis of the left upper second premolar, and a severely malformed left upper lateral incisor is reported. Treatment included placement of an autologous bone graft from the left iliac crest into the alveolar cleft at 8 years of age and transplantation of a lower premolar into the reconstructed alveolar process at 10 years of age. During the succeeding orthodontic treatment, the dental arches were aligned and corrected toward a Class I molar occlusion. One year after the end of treatment, the status of the transplanted premolar was good.
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Affiliation(s)
- Stijn De Muynck
- Department of Orthodontics, School of Dentistry, Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium
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Akhlef Y, Schwartz O, Andreasen JO, Jensen SS. Autotransplantation of teeth to the anterior maxilla: A systematic review of survival and success, aesthetic presentation and patient-reported outcome. Dent Traumatol 2017; 34:20-27. [DOI: 10.1111/edt.12379] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Yousra Akhlef
- Department of Oral & Maxillofacial Surgery; Copenhagen University Hospital (Rigshospitalet); Copenhagen Denmark
| | - Ole Schwartz
- Department of Oral & Maxillofacial Surgery; Copenhagen University Hospital (Rigshospitalet); Copenhagen Denmark
| | - Jens O. Andreasen
- Department of Oral & Maxillofacial Surgery; Copenhagen University Hospital (Rigshospitalet); Copenhagen Denmark
| | - Simon S. Jensen
- Department of Oral & Maxillofacial Surgery; Copenhagen University Hospital (Rigshospitalet); Copenhagen Denmark
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Kafourou V, Tong HJ, Day P, Houghton N, Spencer RJ, Duggal M. Outcomes and prognostic factors that influence the success of tooth autotransplantation in children and adolescents. Dent Traumatol 2017; 33:393-399. [DOI: 10.1111/edt.12353] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2017] [Indexed: 11/29/2022]
Affiliation(s)
| | - Huei Jinn Tong
- Discipline of Orthodontics and Paediatric Dentistry; Faculty of Dentistry; National University of Singapore; Singapore
| | - Peter Day
- Department of Paediatric Dentistry; School of Dentistry; University of Leeds; Leeds UK
| | - Nadine Houghton
- Department of Orthodontics; School of Dentistry; University of Leeds; Leeds UK
| | - R. James Spencer
- Department of Orthodontics; School of Dentistry; University of Leeds; Leeds UK
| | - Monty Duggal
- Discipline of Orthodontics and Paediatric Dentistry; Faculty of Dentistry; National University of Singapore; Singapore
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Michl I, Nolte D, Tschammler C, Kunkel M, Linsenmann R, Angermair J. Premolar autotransplantation in juvenile dentition: quantitative assessment of vertical bone and soft tissue growth. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 124:e1-e12. [DOI: 10.1016/j.oooo.2017.02.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 01/16/2017] [Accepted: 02/13/2017] [Indexed: 10/20/2022]
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Atala-Acevedo C, Abarca J, Martínez-Zapata MJ, Díaz J, Olate S, Zaror C. Success Rate of Autotransplantation of Teeth With an Open Apex: Systematic Review and Meta-Analysis. J Oral Maxillofac Surg 2017; 75:35-50. [DOI: 10.1016/j.joms.2016.09.010] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 09/06/2016] [Indexed: 10/21/2022]
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Ong D, Itskovich Y, Dance G. Autotransplantation: a viable treatment option for adolescent patients with significantly compromised teeth. Aust Dent J 2016; 61:396-407. [DOI: 10.1111/adj.12420] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2016] [Indexed: 12/26/2022]
Affiliation(s)
- D Ong
- Orthodontic Department; School of Dentistry; The University of Queensland; Brisbane Queensland
| | - Y Itskovich
- Orthodontic Department; The University of Otago; Dunedin New Zealand
| | - G Dance
- Townsville Oral and Maxillofacial Surgery; Private Practice; Townsville Queensland Australia
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Terheyden H, Wüsthoff F. Occlusal rehabilitation in patients with congenitally missing teeth-dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth-a systematic review. Int J Implant Dent 2016; 1:30. [PMID: 27747652 PMCID: PMC5005685 DOI: 10.1186/s40729-015-0025-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2015] [Accepted: 08/27/2015] [Indexed: 01/24/2023] Open
Abstract
Background Implant patients with congenitally missing teeth share some common charateristics and deserve special attention. Methods The PICO question was “In patients with congenitally missing teeth, does an early occlusal rehabilitation with dental implants in comparison to tooth autotransplants, conventional prosthetics on teeth or preservation of deciduous teeth have better general outcomes in terms of survival, success and better patient centered outcomes in terms of quality of life, self-esteem, satisfaction, chewing function?” After electronic database search, a total of 63 relevant studies were eligible, of which 42 qualified for numerical data synthesis, 26 being retrospective studies. A data synthesis was performed by weighted means for survival/success/annual failure rates. Results The mean survival of implants was 95.3 % (prosthesis survival 97.8 %), autotransplants 94.4 %, deciduous teeth 89.6 %, and conventional prostheses 60.2 %. The implant survival in children, adolescents, and adults was 72.4, 93.0, and 97.4 %. Annual failure rates of implants 3.317 %, autotransplants 1.061 %, deciduous teeth 0.908 %, and conventional prostheses 5.144 % indicated better results for natural teeth and more maintenance needs for the both prosthetic treatments. The mean OHIP score was 27.8 at baseline and a mean improvement of 14.9 score points was reported after implant prosthetics. The mean satisfaction rates were 93.4 (implants), 76.6 (conventional prostheses), 72.0 (autotransplants), and 65.5 % (orthodontic space closure). Conclusions In synopsis of general and patient-centered outcomes, implants yielded the best results, however, not in children <13 years. Autotransplants and deciduous teeth had low annual failure rates and are appropriate treatments in children and adolescents at low costs. Conventional prosthetics had lower survival/success rates than the other options. Due to heterogeneity and low number of studies, patient-reported outcomes in this review have to be interpreted with caution.
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Affiliation(s)
- Hendrik Terheyden
- Department of Oral and Maxillofacial Surgery, Red Cross Hospital, Hansteinstr. 29, D-34121, Kassel, Germany.
| | - Falk Wüsthoff
- Department of Oral and Maxillofacial Surgery, Schleswig-Holstein University Hospital, Arnold-Heller-Straße 3, Haus 26, 2D-4105, Kiel, Germany
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Prado N, Malik O, Waring D. The Management of the Dilacerated Impacted Maxillary Central Incisor. DENTAL UPDATE 2016; 43:618-630. [PMID: 29148672 DOI: 10.12968/denu.2016.43.7.618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The clinical problem of how best to manage a dilacerated, impacted maxillary central incisor will only be encountered rarely. The treatment aim should be to achieve results that are indistinguishable from normal appearance in a way that is appropriate for the patient. This article discusses the incidence of dilacerations in maxillary incisors and describes the treatment approaches available − orthodontic alignment or surgical removal and management of the resulting space, considering orthodontic repositioning, autotransplantation and various prosthetic replacements. Treatment indications, advantages and disadvantages, restorative and surgical implications, as well as the evidence-base relating to the various treatment modalities will be presented, along with clinical case examples. Clinical relevance: This paper discusses a problem that, if not managed appropriately, can lead to poor results for the patient. Even for practitioners who may not undertake the treatment mentioned, it will enable them to have more in-depth discussion with their patients should the situation arise.
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Yadav SS, Bodh R, Kaushik A, Talwar S. Autotransplantation of a Buccally Erupted Matured Mandibular Third Molar to Replace a Grossly Decayed Second Molar. J Clin Diagn Res 2016; 10:ZD06-7. [PMID: 27042593 DOI: 10.7860/jcdr/2016/17014.7256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 12/02/2015] [Indexed: 11/24/2022]
Abstract
Autotransplantation can be a treatment option for tooth loss as an alternative to fixed or implant-supported prostheses. It has predictable results comparable to implants, with reported success rates often greater than 90%. In present case, buccally erupted matured third molar was autotransplanted in extraction socket of grossly carious mandibular second molar. The tooth was splinted for 1 week followed by root canal treatment. After 12 months follow up, tooth was in perfect state of function and aesthetic with healthy periapical and periodontal architecture. High success rate was found in immature tooth transplantation in previous case reports. This case report describes that even matured tooth can also be used as donor if atraumatic extraction is possible and endodontic treatment is well performed.
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Affiliation(s)
- Sukhwant Singh Yadav
- Senior Resident, Department of Conservative Dentistry & Endodontics, Maulana Azad Institute of Dental Sciences , New Delhi, India
| | - Ranjeet Bodh
- Senior Resident, Department of Oral & Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences , New Delhi, India
| | - Aishvarya Kaushik
- Senior Resident, Department of Conservative Dentistry & Endodontics, Maulana Azad Institute of Dental Sciences , New Delhi, India
| | - Sangeeta Talwar
- Professor and Head, Department of Conservative Dentistry & Endodontics, Maulana Azad Institute of Dental Sciences , New Delhi, India
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de Souza RF, Travess H, Newton T, Marchesan MA. Interventions for treating traumatised ankylosed permanent front teeth. Cochrane Database Syst Rev 2015; 2015:CD007820. [PMID: 26677103 PMCID: PMC7197413 DOI: 10.1002/14651858.cd007820.pub3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Teeth that have suffered trauma can fuse to the surrounding bone in a process called dental ankylosis. Ankylosed permanent front teeth fail to erupt during facial growth and can become displaced, thus resulting in functional and aesthetic problems. Dental ankylosis is also associated with root resorption, which may eventually lead to the loss of affected teeth. Different interventions for the management of ankylosed permanent front teeth have been described, but it is unclear which are the most effective. OBJECTIVES To evaluate the effectiveness of any intervention that can be used in the treatment of ankylosed permanent front teeth. SEARCH METHODS The following electronic databases were searched: the Cochrane Oral Health Group Trials Register (to 3 August 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2015, Issue 7), MEDLINE via OVID (1946 to 3 August 2015), EMBASE via OVID (1980 to 3 August 2015) and LILACS via BIREME (1982 to 3 August 2015). We searched the US National Institutes of Health Trials Register (http://clinicaltrials.gov) and the WHO Clinical Trials Registry Platform for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA We included randomised controlled trials (RCTs) comparing any intervention for treating displaced ankylosed permanent front teeth in individuals of any age. Treatments could be compared with one another, with placebo or with no treatment. DATA COLLECTION AND ANALYSIS Two independent review authors screened studies independently. Full papers were obtained for potentially relevant trials. Although no study was included, the authors had planned to extract data independently and to analyse the data according to the Cochrane Handbook for Systematic Reviews of Interventions. MAIN RESULTS No randomised controlled trials that met the inclusion criteria were identified. AUTHORS' CONCLUSIONS We were unable to identify any reports of randomised controlled trials regarding the efficacy of different treatment options for ankylosed permanent front teeth. The lack of high level evidence for the management of this health problem emphasises the need for well designed clinical trials on this topic, which conform to the CONSORT statement (www.consort-statement.org/).
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Affiliation(s)
- Raphael Freitas de Souza
- Ribeirão Preto Dental School, University of São PauloDepartment of Dental Materials and ProsthodonticsAv. Do Café, s/nRibeirão PretoSão Paulo (SP)Brazil14040‐904
| | - Helen Travess
- Stoke Mandeville HospitalDepartment of OrthodonticsMandeville RoadAylesburyUKHP21 8AL
| | - Tim Newton
- KCL Dental InstituteDivision of Health and Social Care ResearchBessemer RoadLondonUKSE5 9RW
| | - Melissa A Marchesan
- Nova Southeastern UniversityDentistry3200 South University DriveFort LauderdaleFloridaUSA33328‐2018
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Kokai S, Kanno Z, Koike S, Uesugi S, Takahashi Y, Ono T, Soma K. Retrospective study of 100 autotransplanted teeth with complete root formation and subsequent orthodontic treatment. Am J Orthod Dentofacial Orthop 2015; 148:982-9. [DOI: 10.1016/j.ajodo.2015.06.018] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Revised: 06/01/2015] [Accepted: 06/01/2015] [Indexed: 11/16/2022]
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26
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Stange KM, Lindsten R, Bjerklin K. Autotransplantation of premolars to the maxillary incisor region: a long-term follow-up of 12–22 years. Eur J Orthod 2015; 38:508-15. [DOI: 10.1093/ejo/cjv078] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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27
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Shetty RM, Goyal A, Reddy H, Sajjnar AB, Jain S. Frog Appliance- An Innovative Treatment Option for the Replacement of Missing Teeth in An Epileptic Child. J Clin Diagn Res 2015; 9:ZD11-2. [PMID: 26155578 DOI: 10.7860/jcdr/2015/13385.5888] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Accepted: 03/26/2015] [Indexed: 11/24/2022]
Abstract
Epilepsy is a chronic neurological disease which may result in various oro-facial injuries among which fracture of crown and avulsion of tooth are commonly reported. Challenges come in growing epileptic children where fixed prosthesis could not be delivered and it demands a fixed semi-permanent prosthesis that needs strength along with esthetics. The present paper reports an innovative appliance which has fulfilled fore mentioned criteria; with the appliance named-frog appliance.
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Affiliation(s)
- Raghavendra M Shetty
- Professor and Head of the Department, Department of Pedodontics and Preventive Dentistry, Chhattisgarh Dental College and Research Institute , Rajnandgaon, Chhattisgarh, India
| | - Anita Goyal
- PG student, Department of Pedodontics and Preventive Dentistry, Chhattisgarh Dental College and Research Institute , Rajnandgaon, Chhattisgarh, India
| | - Hanumanth Reddy
- Professor and Head of Department, Department of Orthodontics, Chhattisgarh Dental College and Research Institute , Rajnandgaon, Chhattisgarh, India
| | - Arun B Sajjnar
- Reader, Department of Pedodontics and Preventive Dentistry, Chhattisgarh Dental College and Research Institute , Rajnandgaon, Chhattisgarh, India
| | - Sonal Jain
- Senior Lecturer, Department of Pedodontics and Preventive Dentistry, Chhattisgarh Dental College and Research Institute , Rajnandgaon, Chhattisgarh, India
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Almpani K, Papageorgiou SN, Papadopoulos MA. Autotransplantation of teeth in humans: a systematic review and meta-analysis. Clin Oral Investig 2015; 19:1157-79. [DOI: 10.1007/s00784-015-1473-9] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Accepted: 04/05/2015] [Indexed: 11/29/2022]
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Cunha DL, Masioli MA, Intra JBG, Roldi A, Dardengo CDS, Miguel JAM. Premolar transplantation to replace a missing central incisor. Am J Orthod Dentofacial Orthop 2015; 147:394-401. [DOI: 10.1016/j.ajodo.2014.08.022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2013] [Revised: 08/01/2014] [Accepted: 08/01/2014] [Indexed: 11/25/2022]
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30
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Rakhshan V. Congenitally missing teeth (hypodontia): A review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment. Dent Res J (Isfahan) 2015; 12:1-13. [PMID: 25709668 PMCID: PMC4336964 DOI: 10.4103/1735-3327.150286] [Citation(s) in RCA: 85] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Congenitally missing teeth (CMT), or as usually called hypodontia, is a highly prevalent and costly dental anomaly. Besides an unfavorable appearance, patients with missing teeth may suffer from malocclusion, periodontal damage, insufficient alveolar bone growth, reduced chewing ability, inarticulate pronunciation and other problems. Treatment might be usually expensive and multidisciplinary. This highly frequent and yet expensive anomaly is of interest to numerous clinical, basic science and public health fields such as orthodontics, pediatric dentistry, prosthodontics, periodontics, maxillofacial surgery, anatomy, anthropology and even the insurance industry. This essay reviews the findings on the etiology, prevalence, risk factors, occurrence patterns, skeletal changes and treatments of congenitally missing teeth. It seems that CMT usually appears in females and in the permanent dentition. It is not conclusive whether it tends to occur more in the maxilla or mandible and also in the anterior versus posterior segments. It can accompany various complications and should be attended by expert teams as soon as possible.
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Affiliation(s)
- Vahid Rakhshan
- Iranian Tissue Bank and Research Center, Tehran University of Medical Sciences, Department of Dental Anatomy and Morphology, Dental Branch, Islamic Azad University, Tehran, Iran
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31
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Mertens B, Boukari A, Tenenbaum H. Long-term follow up of post-surgical tooth autotransplantation: a retrospective study. ACTA ACUST UNITED AC 2014; 7:207-14. [DOI: 10.1111/jicd.12126] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Accepted: 07/19/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Brenda Mertens
- Department of Periodontology; University of Strasbourg; Strasbourg France
| | | | - Henri Tenenbaum
- Department of Periodontology; University of Strasbourg; Strasbourg France
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32
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Watanabe Y, Mohri T, Yoshida R, Yamaki M, Saito I. Orthodontic treatment combined with tooth transplantation for an adult patient with a missing mandibular first molar: long-term follow-up. Am J Orthod Dentofacial Orthop 2014; 145:S114-24. [PMID: 24680019 DOI: 10.1016/j.ajodo.2013.07.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2013] [Revised: 07/01/2013] [Accepted: 07/01/2013] [Indexed: 11/24/2022]
Abstract
A Japanese woman, age 29 years 8 months, had a missing mandibular left first molar, bimaxillary dentoalveolar protrusion, and crowding. She had a skeletal Class II relationship and a long face with a steep mandible. She had previously undergone root canal treatment for the mandibular right second premolar, and the mandibular left third molar was impacted. The maxillary left first premolar was extracted for autotransplantation to the mandibular left first molar region. After confirmation of a favorable prognosis for the transplanted tooth, the maxillary right first premolar, the mandibular right second premolar, and the impacted mandibular left third molar were extracted for orthodontic treatment. The active orthodontic treatment period was 32 months. The patient returned for follow-up records 12 years 7 months after the active treatment, and her facial profile and occlusion were well maintained. At 13 years 9 months after transplantation, no abnormalities were observed with the transplanted tooth in the radiographic and clinical evaluations.
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Affiliation(s)
| | | | - Rumi Yoshida
- Research fellow, Division of Orthodontics, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Masaki Yamaki
- Lecturer, Division of Orthodontics, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Isao Saito
- Professor and chair, Division of Orthodontics, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
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Yoshino K, Kariya N, Namura D, Noji I, Mitsuhashi K, Kimura H, Fukuda A, Kikukawa I, Hayashi T, Yamazaki N, Kimura M, Tsukiyama K, Yamamoto K, Fukuyama A, Hidaka D, Shinoda J, Mibu H, Shimakura Y, Saito A, Ikumi S, Umehara K, Kamei F, Fukuda H, Toake T, Takahashi Y, Miyata Y, Shioji S, Toyoda M, Hattori N, Nishihara H, Matsushima R, Nishibori M, Hokkedo O, Nojima M, Kimura T, Fujiseki M, Okudaira S, Tanabe K, Nakano M, Ito K, Kuroda M, Takiguchi T, Fukai K, Matsukubo T. Survival rate in autotransplanted premolars with complete root formation: a retrospective clinical survey. THE BULLETIN OF TOKYO DENTAL COLLEGE 2014; 54:27-35. [PMID: 23614950 DOI: 10.2209/tdcpublication.54.27] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
The purpose of this study was to analyze the survival rate in autotransplanted premolars with complete root formation in dental clinics. Participating dentists were requested to provide information on transplantations they had undertaken between 1 January 1990 and 31 December 2010. Data on a total of 708 teeth from 637 patients were collected. Data for other tooth types and for teeth with incomplete root formation were eliminated. In this study, data on 40 teeth in 35 patients were analyzed. Participants consisted of 17 men and 18 women ranging from 24 to 79 years in age (mean age, 43.7 years). The cumulative survival rate was 100% at the 5-year mark and 72.7% at 10 years, as calculated by the Kaplan-Meier method. Single-factor analysis revealed that "transplanted to the molar regions" was a significant risk factor (p<0.05) influencing the survival of transplanted teeth. However, a Cox regression analysis showed no significance. The results of this study suggest that, in cases where there is a suitable donor tooth and the oral condition is good, premolar autotransplantation is a viable treatment option, even when there is complete root formation in the donor teeth.
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Affiliation(s)
- Koichi Yoshino
- Department of Epidemiology and Public Health, Tokyo Dental College, Mihama-ku, Chiba, Japan.
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Mandibular premolar autotransplantation in cleft affected patients: The replacement of congenital missing teeth as part of the cleft patient's treatment protocol. J Craniomaxillofac Surg 2013; 41:371-81. [DOI: 10.1016/j.jcms.2012.10.020] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2011] [Revised: 09/26/2012] [Accepted: 10/01/2012] [Indexed: 11/18/2022] Open
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35
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Mimura H, Fukuyo S. [Orthodontic reconstruction with autotransplantation and bone grafting after a traffic accident]. Orthod Fr 2013; 84:191-200. [PMID: 23719247 DOI: 10.1051/orthodfr/2013050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
This case report describes the orthodontic treatment with autotransplantation and bone grafting of the lost maxillary alveolus for a patient injured in a traffic accident. This patient had a severe skeletal Class III relationship because of the loss of six maxillary teeth and the adjacent alveolar bone. Autotransplantation of mandibular first premolars and bone grafting of the deficient alveolus were carried out to improve the occlusion and the profile. After orthodontic treatment, the transplanted premolars were reshaped and restored with composite as central incisors. Good occlusion and cosmetic improvement were obtained. Orthodontic treatment is useful for occlusal reconstruction after a traumatic injury, and autotransplantation is an effective option for these patients.
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36
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Park YS, Jung MH, Shon WJ. Autotransplantion of a displaced mandibular second premolar to its normal position. Am J Orthod Dentofacial Orthop 2013; 143:274-80. [PMID: 23374935 DOI: 10.1016/j.ajodo.2011.11.025] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2011] [Revised: 11/01/2011] [Accepted: 11/01/2011] [Indexed: 01/17/2023]
Abstract
The patient was a 13-year-old Korean girl who had a displaced mandibular second premolar. She was reluctant to undergo a lengthy orthodontic treatment and opted instead for transplantation of the premolar to its usual site. On the basis of computed tomography, a replica tooth model was manufactured to shorten the extraoral time, and a root canal treatment was performed because root formation was complete. No negative signs or symptoms were found during a 3-year follow up. Autotransplantation for this patient obviated the need for orthodontic traction and prosthetic therapy.
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Affiliation(s)
- Young-Seok Park
- Department of Oral Anatomy and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
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37
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Developments in autotransplantation of teeth. Surgeon 2013; 11:49-55. [DOI: 10.1016/j.surge.2012.10.003] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2012] [Revised: 10/03/2012] [Accepted: 10/07/2012] [Indexed: 11/19/2022]
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38
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Roeykens H, De Moor R. The use of laser Doppler flowmetry in paediatric dentistry. Eur Arch Paediatr Dent 2012; 12:85-9. [DOI: 10.1007/bf03262784] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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39
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Day PF, Lewis BRK, Spencer RJ, Barber SK, Duggal M. The design and development of surgical templates for premolar transplants in adolescents. Int Endod J 2012; 45:1042-52. [DOI: 10.1111/j.1365-2591.2012.02077.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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40
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Mimura H, Fukuyo S. Orthodontic reconstruction with autotransplantation and bone grafting after a traffic accident. Am J Orthod Dentofacial Orthop 2012; 141:S119-29. [PMID: 22449592 DOI: 10.1016/j.ajodo.2010.09.034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2010] [Revised: 09/01/2010] [Accepted: 09/01/2010] [Indexed: 10/28/2022]
Abstract
This case report describes the orthodontic treatment with autotransplantation and bone grafting of the lost maxillary alveolus for a patient injured in a traffic accident. This patient had a severe skeletal Class III relationship because of the loss of 6 maxillary teeth and the adjacent alveolar bone. Autotransplantation of mandibular first premolars and bone grafting of the deficient alveolus were carried out to improve the occlusion and the profile. After orthodontic treatment, the transplanted premolars were reshaped and restored with composite as central incisors. Good occlusion and cosmetic improvement were obtained. Orthodontic treatment is useful for occlusal reconstruction after a traumatic injury, and autotransplantation is an effective option for these patients.
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41
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Chugh A, Aggarwal R, Chugh VK, Wadhwa P, Kohli M. Autogenous tooth transplantation as a treatment option. Int J Clin Pediatr Dent 2012; 5:87-92. [PMID: 25206143 PMCID: PMC4093636 DOI: 10.5005/jp-journals-10005-1142] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Accepted: 02/03/2012] [Indexed: 11/23/2022] Open
Abstract
Autogenous tooth transplantation is the surgical movement of a tooth from one location in the mouth to another in the same individual. Though done for years but it has achieved variable success rates. Although the indications for autotransplantation are narrow, careful patient selection coupled with an appropriate technique can lead to exceptional esthetic and functional results. This article discusses the reviews of previous works done and highlights the criteria and factors influencing the success of autotransplant along with reports of two cases of transplantation of impacted and malposed canine. How to cite this article: Chugh A, Aggarwal R, Chugh VK, Wadhwa P, Kohli M. Autogenous Tooth Transplantation as a Treatment Option. Int J Clin Pediatr Dent 2012;5(1):87-92.
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Affiliation(s)
- Ankita Chugh
- Reader, Department of Oral and Maxillofacial Surgery, Saraswati Dental College and Hospital, Lucknow, Uttar Pradesh, India, e-mail:
| | - Rashmi Aggarwal
- Reader, Department of Oral and Maxillofacial Surgery, Chandra Dental College, Barabanki, Uttar Pradesh, India
| | - Vinay Kumar Chugh
- Assistant Professor, Department of Orthodontics, Faculty of Dental Sciences, CSM Medical University, Lucknow, Uttar Pradesh, India
| | - Puneet Wadhwa
- DMD Student, School of Dental Medicine, Boston University, MA USA
| | - Munish Kohli
- Professor and Head, Department of Oral and Maxillofacial Surgery, Saraswati Dental College, Lucknow, Uttar Pradesh, India
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42
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Yang Y, Bai Y, Li S, Li J, Gao W, Ru N. Effect of Early Orthodontic Force on Periodontal Healing After Autotransplantation of Permanent Incisors in Beagle Dogs. J Periodontol 2012; 83:235-41. [DOI: 10.1902/jop.2011.110099] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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43
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Park YS, Baek SH, Lee WC, Kum KY, Shon WJ. Autotransplantation with Simultaneous Sinus Floor Elevation. J Endod 2012; 38:121-4. [DOI: 10.1016/j.joen.2011.10.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Revised: 10/05/2011] [Accepted: 10/16/2011] [Indexed: 02/03/2023]
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44
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Aas ALM, Skaare AB. Management of a 9-year-old boy experiencing severe dental injury - a 21-year follow-up of three autotransplants: a case report. Dent Traumatol 2011; 27:468-72. [DOI: 10.1111/j.1600-9657.2011.01028.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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45
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Ghassemi M, Jamilian A, Fritz U, Riediger D, Ghassemi A. Orthodontic treatment after autotransplantation. Angle Orthod 2011; 81:721-5. [PMID: 21361776 DOI: 10.2319/102210-617.1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Autotransplantation is an alternative method to replace a missing tooth. This study reports a 17-year-old man who had autotransplantation of the left upper third molar with the congenitally missing left lower second premolar. No signs of inflammation, root resorption, ankylosis, mobility, sensitivity, pocket problems, or pulp destructions were found after 2-year follow up. Autotransplantation can lead to shorter treatment time and an improved treatment result in certain cases. It also eliminates the need for implants or prosthetic therapy.
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Affiliation(s)
- Mehrangiz Ghassemi
- Department of Orthodontics, School of Medicine, University of Aachen, Aachen, Germany.
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Vilhjálmsson VH, Knudsen GC, Grung B, Bårdsen A. Dental auto-transplantation to anterior maxillary sites. Dent Traumatol 2010; 27:23-9. [DOI: 10.1111/j.1600-9657.2010.00952.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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47
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Long-term observation of autotransplanted teeth with complete root formation in orthodontic patients. Am J Orthod Dentofacial Orthop 2010; 138:720-6. [DOI: 10.1016/j.ajodo.2009.03.043] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2008] [Revised: 03/01/2009] [Accepted: 03/01/2009] [Indexed: 11/18/2022]
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48
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Patel S, Fanshawe T, Bister D, Cobourne MT. Survival and success of maxillary canine autotransplantation: a retrospective investigation. Eur J Orthod 2010; 33:298-304. [DOI: 10.1093/ejo/cjq071] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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49
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Sugai T, Yoshizawa M, Kobayashi T, Ono K, Takagi R, Kitamura N, Okiji T, Saito C. Clinical study on prognostic factors for autotransplantation of teeth with complete root formation. Int J Oral Maxillofac Surg 2010; 39:1193-203. [PMID: 20630706 DOI: 10.1016/j.ijom.2010.06.018] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2008] [Revised: 05/18/2010] [Accepted: 06/14/2010] [Indexed: 10/19/2022]
Abstract
Autotransplantation is often performed to replace a missing tooth, but tooth autotransplantation has been reported in fewer teeth with complete root formation than those with incomplete root formation. The aim of this prospective study was to evaluate the factors that affect the prognosis of autotransplantation of teeth with complete root formation. 109 patients with 117 transplants were studied. Of the 117 transplants investigated, 14 (12%) failed during the observation period. The overall 1-year survival rate was 96%; the 5-year survival rate was 84%. The major causes of failure were unsuccessful initial healing and replacement root resorption with periodontal inflammation. Factors significantly associated with unsuccessful transplantation, in single factor analysis, were age 40 years or more, molar tooth as donor, probing pocket depth to 4mm or more, history of root canal treatment, multi-rooted teeth and fixation with sutures. Pocket depth of 4mm or more and history of root canal treatment appeared to increase the risk of unsuccessful transplantation in multivariate analysis. It is suggested that the pocket depth of the donor tooth and history of root canal treatment are related to the healing of paratransplantal tissue and root resorption.
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Affiliation(s)
- T Sugai
- Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
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Kvint S, Lindsten R, Magnusson A, Nilsson P, Bjerklin K. Autotransplantation of teeth in 215 patients. A follow-up study. Angle Orthod 2010; 80:446-51. [PMID: 20050735 DOI: 10.2319/062509-354.1] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To evaluate the success rate of autotransplantation of teeth in consecutive patients and to analyze factors affecting the outcome. MATERIALS AND METHODS The subjects consisted of 215 consecutive patients (101 women and 114 men; aged 9.1-56.4 years, median age 15.2 years [P(10) = 11.4, P(90) = 19.7]) who had undergone transplantation of a total of 269 teeth, all by the same surgeon. In patients with multiple transplants, only the first transplant was included, to ensure that all transplanted teeth were independent units. The transplants were recorded as unsuccessful if the tooth had been extracted or was surviving but with root resorption or ankylosis. The interval between transplantation and final follow-up was a median 4.8 years (P(10) = 2.0, P(90) = 5.5) for successful transplants and a median of 2.4 years (P(10) = 0.4, P(90) = 7.7) for unsuccessful transplants. RESULTS One-hundred seventy-five (81%) of the transplantations were recorded as successful and 40 (19%) as unsuccessful. Twenty-five teeth had been extracted and 15 had survived but did not fulfill the criteria for success. CONCLUSIONS The success rate of 215 consecutively transplanted teeth was 81%. The highest success rate was for transplantation of premolars to the maxillary incisor region (100%). Complications at surgery such as difficult extraction, deviant root anatomy, or damaged root periodontium affected the outcome. During growth, a successful transplant preserves alveolar bone.
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Affiliation(s)
- Sven Kvint
- Department of Oral and Maxillofacial Surgery, The Institute for Postgraduate Dental Education, Jönköping, Sweden
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