Effect of Root Canal Therapy on the Success Rate of Teeth with Complete Roots in Autogenous Tooth Transplantation

Abstract

Background. Autogenous tooth transplantation is a reliable method for repairing missing teeth. Although it recently became a recognized and feasible treatment method in dentistry, the long-term efficacy of root canal therapy (RCT) has not been well confirmed. This study is aimed at determining whether RCT has a good effect on the success rate of teeth with complete roots in autogenous tooth transplantation. Materials and Methods. Data were collected from the Korea University Guro Hospital. Data of patients who underwent autogenous tooth transplantation within 9 years were collected. We selected 29 teeth with complete roots as the research subjects in our study. None of the patients had any systemic diseases. All cases in this study were obtained with patient permission. Results. According to the tooth vitality test, the autogenous teeth tested negative in dental pulp test and function. Nine of the 29 teeth with autogenous tooth transplantation were treated with RCT and survived throughout the observation period. However, 20 autogenous teeth were not treated with RCT, and eight of them did not survive. All statistical analyses were performed using IBM SPSS 20.0. The null hypothesis was rejected ( p < 0.05 ). Conclusion. For complete root teeth, the success rate after autogenous tooth transplantation after RCT is higher than that of teeth not treated with RCT.

Immediate Tooth Autotransplantation with Root Canal Filling and Partially Demineralized Dentin/Cementum Matrix into Congenital Missing Tooth Region

“…Dental doctors know the difficulties of endodontic treatments in the oral area, especially for the transplanted tooth, because the tooth itself remains unstable and endodontic treatments are very complicated with several curved and/or calcified canals. If RCF is not performed well for teeth with complete roots, unfortunately tooth autotransplantation will fail [ 8 ]. It is easier to perform RCF in the extraoral than in the intraoral space.…”

“…The transplanted tooth with complete root formation is rarely expected to revascularize and reinnervate [ 7 ]. For complete root teeth, the success rate of tooth autotransplantation after root canal filling (RCF) was higher than that of teeth without RCF [ 8 ]. Thus, endodontic treatments will be required before or after the surgery, to prevent apical inflammation derived from pulp necrosis [ 8 , 9 , 10 ].…”

“…For complete root teeth, the success rate of tooth autotransplantation after root canal filling (RCF) was higher than that of teeth without RCF [ 8 ]. Thus, endodontic treatments will be required before or after the surgery, to prevent apical inflammation derived from pulp necrosis [ 8 , 9 , 10 ]. Autotransplantation of premolars has become a reliable treatment option in cases with certain orthodontic problems [ 11 ].…”

A study of delayed tooth autotransplantation after long-term cryopreservation with platelet-rich plasma in dogs

“…In this study, we could observe cementum and dentin crack on some root surface in all groups (data not shown). These However, elevated donor teeth mobility due to orthodontic force can prevent such risk [26].…”

Review of Cracked Tooth Syndrome: Etiology, Diagnosis, Management, and Prevention

“…The height of the cusp should be reduced during the restoration procedure to reduce the risk of fracture due to lateral loading. If the cracks are very fine in the early stage, we can closely observe or/and use composite resin to fill them [ 100 ]. When the fracture surface is completely above the gingiva or no more than 1–3 mm, a thin drill can be used along the crack line until the tooth appears in a healthy and normal structural state, to directly repair the tooth structure.…”