Autotransplantasi Gigi-Gigi Impaksi Insisivus Maksila Kanan Disertai Kista Dentigerous Dengan Penambahan Graft Kolagen Karbonat Apatit

Abstract

Background: Autotransplantation is a surgical movement to reposition teeth that have been erupted, partially erupted or not yet erupted from one place to another in the same individual, either on post-extraction sockets or artificial sockets made by surgery. Dental folicle from impacted teeth may develope dentigerous cysts that will result in destruction of the jaw bone. There are many factors that influence the success of autotransplantation, one of which is adequate bone support.The purpose of this poster is to present the successful autotransplantation treatment of impacted right maxillary incisor teeth associated with dentigerous cyst and bone support replacement after cyst enucleation using a carbonate apatite collagen graft, GAMACHA®, at RSUP Dr. Sardjito. Case management: A 9-year-old girl, referred to the Oral and Maxillofacial Surgery Department of RSUP Dr. Sardjito with the complaint of right deciduous maxillary incisor persistence. Radiological examination showing persistent of 51 and 52 radices and impaction of teeth 11 and 12 in a horizontal position above radix 53. Also visible radiolucent image with a firm limit around the crown of 11 that supports the image of cyst. This patient performed cyst enucleation under general anesthesia, removal of impacted 11 and 21, followed by an artificial socket drilling at the alveolar bone that could support all aspects of the root wall although only on the apical part of the tooth root for teeth 11 and 12 placement. Autotransplantation of teeth11 and 12 followed by the application of GAMACHA® and wire fixation, strengthen with acrylic splint. Conclusion: Two years follow up after surgery, patient have no complaints either from aesthetic or functional and the result of clinical and radiological examination did not found existence of any pathological abnormalities around teeth 11 and 12.

Differences in Pulp Cell Inflammation and Dentinal Bridge Formation Between Carbonate Apatite and Calcium Hydroxide After Direct Pulp Capping on Wistar Rat Maxillary First Molar

“…There were no signs of inflammation or mobility of teeth 11 and 12, and at the control at the fifth month after the procedure, there were no signs of inflammation or tooth mobility. patient complaints both functionally and aesthetically [20] The content of carbonate apatite (Ca10(PO4)6(OH)2) and gelatin (the result of collagen denaturalization) makes this product considered similar to human bone structure and has good resorb and biodegradability. [21] Apatite, commonly known as hydroxyapatite (HAp), is biocompatible with the body, including human teeth, and is approximately 3-5% composed of carbonate ions.…”