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SamavatiJame F, Alrmali A, Galindo-Fernandez P, Stuhr S, Wang HL. Tooth autotransplantation outcomes using platelet-rich fibrin: A promising approach; case study. Clin Adv Periodontics 2024. [PMID: 38696612 DOI: 10.1002/cap.10287] [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: 10/05/2023] [Revised: 02/01/2024] [Accepted: 03/06/2024] [Indexed: 05/04/2024]
Abstract
BACKGROUND Autogenous tooth transplantation refers to a surgical procedure involving the relocation of a tooth within the same individual. Incorporating platelet-rich fibrin (PRF) in this procedure holds the potential to improve healing, accelerate recovery, and optimize treatment outcomes. METHODS In this article, the authors illustrate a PRF-based approach for autogenous tooth transplantation through two case scenarios. These cases outline the surgical steps of tooth transplantation and demonstrate the potential role of PRF in enhancing soft tissue healing. Furthermore, the article provides insights from a long-term follow-up spanning over 7 years. RESULTS Tooth transplantation in young adults is promising but depends on factors such as root development stage and donor tooth size matching. Including PRF may improve healing, at least in the short term, due to its rich concentration of growth factors and cytokines, promoting effective tissue regeneration. CONCLUSIONS Autogenous tooth transplantation has shown to be a viable treatment option for replacing the missing dentition. Adding PRF to the autogenous tooth transplantation procedure may speed up and enhance the treatment outcome. While the favorable results of these cases might be partially attributed to the use of PRF, the contribution of PRF to the healing process of tooth transplant remains conjectural and requires validation through additional research. KEY POINTS/HIGHLIGHTS Tooth autotransplantation can be performed in younger patients without requiring root canal treatment, while also potentially benefiting from the incorporation of platelet-rich fibrin (PRF).
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Affiliation(s)
- Fatemeh SamavatiJame
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
| | - Abdusalam Alrmali
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
- Department of Oral Pathology, Oral Medicine and Oral & Maxillofacial Surgery, University of Tripoli, School of Dentistry, Tripoli, Libya
| | - Pablo Galindo-Fernandez
- Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, Granada, Spain
| | - Sandra Stuhr
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
| | - Hom-Lay Wang
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
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Nagendrababu V, Sarao SK, Berlin-Broner Y, Gopinath VK, Shetty NY, Duncan HF, Abbott PV, Dummer PMH, Levin L. Critical analysis of the reporting quality of case reports focusing on dental traumatology using the Preferred Reporting Items for Case reports in Endodontics 2020 checklist: A baseline evaluation prior to checklist publication. Dent Traumatol 2023; 39:483-494. [PMID: 37294181 DOI: 10.1111/edt.12860] [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: 04/26/2023] [Accepted: 05/17/2023] [Indexed: 06/10/2023]
Abstract
BACKGROUND/AIMS The Preferred Reporting Items for Case Reports in Endodontics (PRICE) 2020 guidelines were published to help authors produce high-quality case reports. The aim of this study was to use the PRICE 2020 guidelines to appraise a sample of 50 case reports related to dental traumatology that were published before the guidelines were available in order to assess various parameters influencing the reporting quality. METHODS Fifty case reports published between 2015 and 2019 and related to dental traumatology were randomly selected from the PubMed database. Reports were assessed by two independent evaluators using the PRICE checklist. Each item received a score of "1" if the manuscript met all pertinent criteria, "0" if it was not reported, and "0.5" if it was reported insufficiently. "Not Applicable" (NA) was assigned to items that were irrelevant to a specific report. The estimated total PRICE score for each case report was computed by adding all the scores, with a maximum score of 47 minus any "NA" scores. Descriptive and Inferential statistics (Student's t-test and ANOVA) were used for analysis. RESULTS The percentage of case reports that fully met each applicable criteria ranged from 0% to 100%. The percentage of case reports partially satisfying each applicable criterion varied from 0% to 88%. There was a significant difference in scores for case reports published in journals with an impact factor compared with those without (p = .042). No significant difference was observed between the mean scores that compared the period of publication. There was no significant difference between journals that followed the CARE guidelines and those that did not. CONCLUSION Several items within the PRICE 2020 guidelines were either not reported or only partially reported in case reports related to dental traumatology prior to the checklist publication. It is recommended that authors follow the PRICE 2020 guidelines to improve the overall quality of their case reports.
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Affiliation(s)
- Venkateshbabu Nagendrababu
- University of Sharjah, College of Dental Medicine, Department of Preventive and Restorative Dentistry, Sharjah, UAE
| | | | - Yuli Berlin-Broner
- Faculty of Medicine and Dentistry, University of Alberta, Alberta, Edmonton, Canada
| | - Vellore Kannan Gopinath
- University of Sharjah, College of Dental Medicine, Department of Preventive and Restorative Dentistry, Sharjah, UAE
| | - Naresh Yedthare Shetty
- Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAE
- Centre of Medical and Biomedical Allied Health Sciences Research, Deanship of Graduate Studies and Research, Ajman, UAE
| | - Henry F Duncan
- Division of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - Paul V Abbott
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Paul M H Dummer
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
| | - Liran Levin
- Faculty of Medicine and Dentistry, University of Alberta, Alberta, Edmonton, Canada
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Plakwicz P, Andreasen JO, Górska R, Burzykowski T, Czochrowska E. Status of the alveolar bone after autotransplantation of developing premolars to the anterior maxilla assessed by CBCT measurements. Dent Traumatol 2021; 37:691-698. [PMID: 33942473 PMCID: PMC8453749 DOI: 10.1111/edt.12680] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 03/23/2021] [Accepted: 03/24/2021] [Indexed: 11/30/2022]
Abstract
Background/Aims Autotransplantation of developing premolars is an established treatment to replace missing teeth in the anterior maxilla in growing patients with a reported success rate of over 90%. The normal shape of the alveolus is observed after transplantation, but data on the presence and amount of alveolar bone after healing has not been previously reported. The aim of this study was to look for potential differences in alveolar bone dimensions between sites where autotransplanted premolars replaced missing incisors and control sites of contralateral incisors. Material/Methods There were 11 patients aged between 10 and 12 years five months (mean age: 10 years and 7 months) who underwent autotransplantation of a premolar to replace a central incisor. Cone Beam Computed Tomography (CBCT) performed at least 1 year after transplantation served to evaluate bone at sites of autotransplanted premolars and controls (contralateral maxillary central incisor). The thickness of the labial bone, plus the height and width of the alveolar process were measured on scans and compared at transplant and control sites. Results Mean thicknesses of the labial bone at the transplant and control sites were 0.78 mm and 0.82 mm respectively. Mean alveolar bone height was 15.15 mm at the transplant sites and 15.12 mm at the control sites. The mean marginal thickness of the alveolus was 7.75 mm at the transplant sites and 7.98 mm at the control sites. Mean thicknesses of the alveolus for half of its vertical dimension at the transplant and control sites were 7.54 mm and 8.03 mm, respectively. Conclusion The mean values of bone thickness, width and height of the alveolar process at sites of transplanted premolars were comparable to the mean values for the control incisors. Successful autotransplantation of developing premolars to replace missing central incisors allowed preservation of alveolar bone in the anterior maxilla.
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Affiliation(s)
- Paweł Plakwicz
- Department of Periodontology, Faculty of Dentistry, Medical University of Warsaw, Warszawa, Poland
| | - Jens Ove Andreasen
- Department of Oral and Maxillofacial Surgery, University Hospital in Copenhagen (Rigshospitalet, Copenhagen Ø, Denmark
| | - Renata Górska
- Department of Periodontology, Faculty of Dentistry, Medical University of Warsaw, Warszawa, Poland
| | - Tomasz Burzykowski
- Interuniversity Institute for Biostatistics and Statistical Bioinformatics (I-BioStat), Hasselt University, Hasselt, Belgium.,Department of Statistics and Medical Informatics, Faculty of Health Sciences, Medical University of Bialystok, Białystok, Poland
| | - Ewa Czochrowska
- Department of Orthodontics, Faculty of Dentistry, Medical University of Warsaw, Warszawa, Poland
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Velozo C, Nogueira LR, Nogueira Filho LR, Capistrano A, de Albuquerque DS. Tooth autotransplantation using an interdisciplinary approach to rehabilitation in a young patient: Case report with 7-year follow-up. Dent Traumatol 2021; 37:521-530. [PMID: 33269534 DOI: 10.1111/edt.12637] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 11/18/2020] [Accepted: 11/19/2020] [Indexed: 02/05/2023]
Abstract
This case report demonstrates the possibility of functional and aesthetic rehabilitation using an interdisciplinary approach in a child following avulsion of a tooth. Autotransplantation after the development of calcific metamorphosis of the pulp and acute apical periodontitis provided satisfactory repair after root canal treatment. A 7-year-old white boy avulsed the right maxillary central incisor (tooth 11). The extra-alveolar time exceeded 60 minutes, and this triggered external replacement resorption of the avulsed tooth. At 11 years of age, the child underwent tooth autotransplantation. After 4 years of follow-up, intraoral clinical and radiographic examination led to the diagnosis of calcific metamorphosis of the pulp and acute apical periodontitis. The patient had minimally invasive root canal treatment, orthodontic treatment and esthetic rehabilitation with a porcelain crown. Control periapical radiography and tomography of the autotransplanted tooth after 7 years revealed bone repair in the periapical region. This case report indicates that tooth autotransplantation can be used to replace anterior teeth after avulsion followed by replacement resorption. Interdisciplinary management helped to maintain the esthetics and function of the rehabilitated area.
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Affiliation(s)
- Christianne Velozo
- Department of Restorative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Brazil
| | | | - Luiz Ricardo Nogueira Filho
- Department of Restorative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Brazil
| | | | - Diana Santana de Albuquerque
- Department of Restorative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Brazil
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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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Mena-Álvarez J, Riad-Deglow E, Quispe-López N, Rico-Romano C, Zubizarreta-Macho A. Technology at the service of surgery in a new technique of autotransplantation by guided surgery: a case report. BMC Oral Health 2020; 20:99. [PMID: 32264867 PMCID: PMC7140495 DOI: 10.1186/s12903-020-01095-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 03/27/2020] [Indexed: 12/17/2022] Open
Abstract
Background The aim of this case report was to use a surgical technique for autotransplantation of tooth using virtually planned 3D printed surgical templates for guided osteotomy preparation of the recipient of donor tooth. Case presentation An 18-year-old male patient received autotransplantation of the right mandibular third molar to replace an included right second molar. This procedure was based on guided implant surgery methods by superimposition of DICOM files and 3D data sets of the jaws. In order to design a 3D-printed template with the aid of a fully digital workflow; the third molar was conserved in PRGF during the surgical procedure and the tooth socket was prepared with a template and the help of a 3D-printed donor tooth copy in order to prevent iatrogenic damage to the donor tooth. This template and replica were manufactured using 3D-printing techniques. The transplanted tooth was placed in infra-occlusion and fixed with a suture splint and root canal therapy was performed 15 days later. The intervention was be accomplished by performing preplanned virtual transplantations with guided osteotomies to ensure accurate donor tooth placement in the new recipient site. The 24 months follow-up showed physiological clinical and radiologic results compatible with healing periradicular tissues. Conclusions This approach enables the planning and production of a 3D printed surgical template using the latest diagnostic methods and techniques of guided implant surgery. These accurate virtually predesigned surgical templates and printed analogues of the donor tooth could facilitate autotransplantation, ensuring an atraumatic surgical protocol.
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Affiliation(s)
- J Mena-Álvarez
- Head Academic, Master Degree in Endodontics, Faculty of Health Sciences, Alfonso X el Sabio University, Madrid, Spain.
| | - E Riad-Deglow
- Associate professor, Master Degree in Implants, Faculty of Health Sciences, Alfonso X el Sabio University, Madrid, Spain
| | - N Quispe-López
- Associate professor, Department of Endodontics, Faculty of Health Sciences, Alfonso X el Sabio University, Madrid, Spain
| | - C Rico-Romano
- Associate professor, Department of Endodontics, Faculty of Health Sciences, Alfonso X el Sabio University, Madrid, Spain
| | - A Zubizarreta-Macho
- Associate professor, Department of Endodontics, Faculty of Health Sciences, Alfonso X el Sabio University, Madrid, Spain
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Autotransplantation With a 3-Dimensionally Printed Replica of the Donor Tooth Minimizes Extra-Alveolar Time and Intraoperative Fitting Attempts: A Multicenter Prospective Study of 100 Transplanted Teeth. J Oral Maxillofac Surg 2020; 78:35-43. [DOI: 10.1016/j.joms.2019.08.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Revised: 08/05/2019] [Accepted: 08/05/2019] [Indexed: 12/27/2022]
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Gaviño Orduña JF, García García M, Dominguez P, Caviedes Bucheli J, Martin Biedma B, Abella Sans F, Manzanares Céspedes MC. Successful pulp revascularization of an autotransplantated mature premolar with fragile fracture apicoectomy and plasma rich in growth factors: a 3-year follow-up. Int Endod J 2019; 53:421-433. [PMID: 31587320 DOI: 10.1111/iej.13230] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 10/01/2019] [Indexed: 12/14/2022]
Abstract
AIM This case report demonstrates a positive outcome of the adjuvant use of fragile fracture (FF), which is a technique used to harvest dental pulp stem cells (DPSCs), and platelet-rich plasma (PRP) in a mandibular premolar (tooth 44) with a completely formed root that was transplanted into a surgically created socket and which maintained pulp vitality and function. SUMMARY After virtual surgical planning, a 3D tooth replica of tooth 44 was fabricated. A surgical socket was created in the position of tooth 14; then, tooth 44 was extracted and the root dentine was abraded using a turbine diamond bur 3 mm from the apex until a circular groove was prepared around the outer circumference of the root; and then, an FF was performed without damaging the pulp tissue. PRP was placed in the socket, after which the donor tooth was inserted in the recipient area. At 2 weeks post-treatment, orthodontic traction was applied. At 3-year follow-up, the tooth had adequate alignment and was asymptomatic. Response to pulp testing was positive, and the presence of pulp canal obliteration was observed as a sign of pulpal healing. KEY LEARNING POINTS Autotransplantation is a good alternative for replacing missing teeth, with repair of tissues and pulp revascularization. Revascularization of an autotransplanted mature tooth using the fragile fracture technique and PRP scaffold is a feasible option and might have positive effects on the long-term outcome of the procedure. Including completely formed teeth as donors in autotransplantation, maintaining vitality and their functions is an option that warrants further study.
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Affiliation(s)
- J F Gaviño Orduña
- Department of Odonto-Stomatology, School of Dentistry, University of Barcelona, Barcelona, Spain
| | - M García García
- Department of Odonto-Stomatology, School of Dentistry, University of Barcelona, Barcelona, Spain
| | - P Dominguez
- Department of Odonto-Stomatology, School of Dentistry, University of Barcelona, Barcelona, Spain
| | - J Caviedes Bucheli
- Centro de Investigaciones Odontologicas (CIO) Pontificia, Universidad Javeriana, Bogota, Colombia
| | - B Martin Biedma
- Unit of Dental Pathology and Therapeutics II, School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - F Abella Sans
- Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain
| | - M C Manzanares Céspedes
- Department of Odonto-Stomatology, School of Dentistry, University of Barcelona, Barcelona, Spain.,Department of Experimental Pathology and Therapeutics, School of Medicine, University of Barcelona, Barcelona, Spain
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Homma H, Okada M, Nakauchi A, Osawa E, Nagai N, Sakurai A, Shintani S. Treatment of Child with Four Lost Maxillary Incisors due to Traffic Injury. THE BULLETIN OF TOKYO DENTAL COLLEGE 2019; 60:211-220. [DOI: 10.2209/tdcpublication.2018-0062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Hiromi Homma
- Department of Pediatric Dentistry, Tokyo Dental College
| | | | | | - Eri Osawa
- Department of Pediatric Dentistry, Tokyo Dental College
| | - Nobuko Nagai
- Department of Pediatric Dentistry, Tokyo Dental College
| | - Atsuo Sakurai
- Department of Pediatric Dentistry, Tokyo Dental College
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