Autotransplantation of teeth to the anterior maxilla: A systematic review of survival and success, aesthetic presentation and patient‐reported outcome

Akhlef, Yousra; Schwartz, Ole; Andreasen, Jens Ove; Jensen, Simon Storgård

doi:10.1111/edt.12379

Cited by 50 publications

(70 citation statements)

References 35 publications

(99 reference statements)

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“…Tooth autotransplantation TAT offers a viable biological approach to tooth replacement in children and adolescents after traumatic dental injuries (TDIs), agenesis, developmental anomalies, or specific orthodontic problems [25,26,27,28,29]. In a recent systematic review, Akhlef et al [28] reported an overall survival rate for conventional TAT ranging between 93% and 100% (weighted mean: 96.7%, median: 100%) after 9 months to 22 years of observation (median: 8.75 years). The survival rates for conventional TAT of teeth with incomplete root formation was reported to be 97.4, 97.8, and 96.3% after 1, 5, and 10 years, respectively [29].…”

Section: Discussionmentioning

confidence: 99%

“…The survival rates for conventional TAT of teeth with incomplete root formation was reported to be 97.4, 97.8, and 96.3% after 1, 5, and 10 years, respectively [29]. Studies reporting on the aesthetic results after TAT are limited [28]. Czochrowska et al [38] reported a clinical assessment of a reshaped autotransplanted tooth using composite build-ups compared to a natural contralateral tooth according to objective parameters.…”

Section: Discussionmentioning

confidence: 99%

“…As aforementioned, CAD/CAM and 3D printing technology are already being applied in tooth autotransplantation (TAT) procedures [10,12]. TAT offers a viable biological approach to tooth replacement in children and adolescents after traumatic dental injuries (TDIs), agenesis, developmental anomalies, or specific orthodontic problems [25,26,27,28,29]. The treatment options available, for example implant placement, are limited by the ongoing dentoalveolar development [30], while orthodontic tooth alignment is challenging unless skeletal anchorage is applied [31,32].…”

Section: Introductionmentioning

confidence: 99%

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3D Printed Temporary Veneer Restoring Autotransplanted Teeth in Children: Design and Concept Validation Ex Vivo

Al-Rimawi

EzEldeen

Schneider

et al. 2019

IJERPH

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(1) Background: Three-dimensional printing is progressing rapidly and is applied in many fields of dentistry. Tooth autotransplantation offers a viable biological approach to tooth replacement in children and adolescents. Restoring or reshaping the transplanted tooth to the anterior maxilla should be done as soon as possible for psychological and aesthetic reasons. However, to avoid interfering with the natural healing process, reshaping of transplanted teeth is usually delayed three to four months after transplantation. This delay creates a need for simple indirect temporary aesthetic restoration for autotransplanted teeth. The aim of this study was to develop and validate a digital solution for temporary restoration of autotransplanted teeth using 3D printing. (2) Methods: Four dry human skulls and four dry human mandibles were scanned using cone beam computed tomography to create 3D models for 15 premolars. Digital impression of the maxillary arch of one of the skulls was captured by intra oral scanner. The digital work flow for the design and fabrication of temporary veneers is presented. The seating and adaptation of the 3D printed veneers were evaluated using stereomicroscopy and micro-computed tomography. (3) Results: Evaluation of the veneer seating using stereomicroscopy showed that the mean marginal gap at all of the sides was below the cut-off value of 200 µm. The overall mean marginal gap was 99.9 ± 50.7 µm (median: 87.8 (IQR 64.2–133 µm)). The internal adaptation evaluation using micro-computed tomography showed an average median gap thickness of 152.5 ± 47.7 (IQR 129–149.3 µm). (4) Conclusions: The present concept of using temporary veneers that are designed and fabricated with CAD/CAM (computer-aided design/computer-aided manufacturing) technology using a DLP (digital light processing) printer may present a viable treatment option for restoration of autotransplanted teeth.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

3D Printed Temporary Veneer Restoring Autotransplanted Teeth in Children: Design and Concept Validation Ex Vivo

Al-Rimawi

EzEldeen

Schneider

et al. 2019

IJERPH

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“…However, another available option may be replacing the missing tooth with another tooth. [49][50][51][52] Reported complications of autotransplantation include pulp necrosis, root resorption, and hypermobility. 48 Success rates for this procedure are as high as 96% and survival rates as high as 98% for autotransplanted teeth.…”

Section: Autotransplantationmentioning

confidence: 99%

“…48 Success rates for this procedure are as high as 96% and survival rates as high as 98% for autotransplanted teeth. [49][50][51][52] Reported complications of autotransplantation include pulp necrosis, root resorption, and hypermobility. 53 Not only is autotransplantation a good option because of high success rates, it is also a good option for growing patients who cannot have dental implants placed.…”

Section: Autotransplantationmentioning

confidence: 99%

In the dental implant era, why do we still bother saving teeth?

Clark

Levin

2019

Dental Traumatology

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Teeth are vital sensory organs that contribute to our daily activities of living. Unfortunately, teeth can be lost for several reasons including trauma, caries, and periodontal disease. Although dental trauma injuries and caries are more frequently encountered in a younger population, tooth loss because of periodontal disease occurs in the older population. In the dental implant era, the trend sometimes seems to be to extract compromised teeth and replace them with dental implants. However, the long‐term prognosis of teeth might not be comparable with the prognosis of dental implants. Complications, failures, and diseases such as peri‐implantitis are not uncommon, and, despite popular belief, implants are not 99% successful. Other treatment options that aim to save compromised or diseased teeth such as endodontic treatment, periodontal treatment, intentional replantation, and autotransplantation should be considered on an individual basis. These treatments have competing success rates to dental implants but, more importantly, retain the natural tooth in the dentition for a longer period of time. These options are important to discuss in detail during treatment planning with patients in order to clarify any misconceptions about teeth and dental implants. In the event a tooth does have to be extracted, procedures such as decoronation and orthodontic extrusion might be useful to preserve hard and soft tissues for future dental implant placement. Regardless of the treatment modality, it is critical that strict maintenance and follow‐up protocols are implemented and that treatment planning is ethically responsible and evidence based.

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Alternatives to Root Canal Treatment: Tooth Autotransplantation

Duggal¹,

Nazzal²

2022

Endodontic Advances and Evidence‐Based Clinical Guidelines

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Autotransplantation of teeth to the anterior maxilla: A systematic review of survival and success, aesthetic presentation and patient‐reported outcome

Abstract: Background/Aim: Autotransplantation of teeth to the anterior maxilla may be indi-

Cited by 50 publications

References 35 publications

3D Printed Temporary Veneer Restoring Autotransplanted Teeth in Children: Design and Concept Validation Ex Vivo

3D Printed Temporary Veneer Restoring Autotransplanted Teeth in Children: Design and Concept Validation Ex Vivo

In the dental implant era, why do we still bother saving teeth?

Alternatives to Root Canal Treatment: Tooth Autotransplantation

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