Prognostic Factors for Clinical Outcomes in Autotransplantation of Teeth with Complete Root Formation: Survival Analysis for up to 12 Years

Jang, Youngjune; Choi, Yoon Jeong; Lee, Seung Jong; Roh, Byoung Duck; Park, Sang Hyuk; Kim, Euiseong

doi:10.1016/j.joen.2015.10.021

Cited by 90 publications

(87 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The vitality of the favorable periodontal ligament (PDL) attached to the transplanted tooth [25] is the most important factor for the success of autogenous tooth transplantation and this viability is reduced if the extraoral dry time is long [13]. In this case, the tooth was held gently and conserved in plasma rich in growth factors.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, if it exists traumatic press-fit placement in the recipient alveolus or mechanical injuries during extraction, in addition to biochemical factors because of prolonged extraalveolar duration may cause damage to the periodontal ligament, leading to progressive root resorption and treatment failure. Others factors like root morphology and development or inadequate preparation of the recipient alveolus, appear to influence a negative outcome, causing pulp necrosis and root resorption, ankylosis and failure [4,12,13]. Restorations with dental implants and prosthetic bridges (fixed treatment options) cannot allow for natural functional and esthetic rehabilitation like dental transplants.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Technology at the service of surgery in a new technique of autotransplantation by guided surgery: a case report

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Technology at the service of surgery in a new technique of autotransplantation by guided surgery: a case report

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Endodontic treatment, however, is considered a standard procedure in teeth with fully developed roots to avoid periapical inflammation. This treatment is applied either preoperatively, extra-orally during surgery or within 2 weeks post-surgery (Jang et al 2016). However, Marques-Ferreira et al (2011) observed that revascularization can be achieved when the root is shorter than 8.07mm and the diameter of the apical foramen is longer than> 1mm, as suggested by Andreasen et al (1990) Reducing the root length by root-end resection creates a tooth that can be placed in infraocclusion, which could promote a better healing process (Hasegawa et al 2007, Laureys et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Successful pulp revascularization of an autotransplantated mature premolar with fragile fracture apicoectomy and plasma rich in growth factors: a 3‐year follow‐up

et al. 2019

View full text Add to dashboard Cite

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.

show abstract

“…At this developmental stage there is a high risk of affecting or damaging Hertwig's epithelial sheath during extraction and/or implantation and therefore further root development and growth could be severely affected or completely prevented (3,5,14). A recent 12-year follow up of autotransplanted teeth indicated that surgical extraction of the donor tooth was associated with a significantly higher incidence of inflammatory root resorption (18). In our case, extraction was performed very carefully to allow for preservation of the tissues, promotion of root development, and to maintain viability of the pulp.…”

Section: Discussionmentioning

confidence: 99%

Calcium Hydroxide Treatment Does Not Alter the Susceptibility of Enterococcus faecalis Biofilms to Sodium Hypochlorite

et al. 2017

View full text Add to dashboard Cite

In young patients, premature tooth loss in the anterior maxilla after trauma is challenging for the patient and the dental professional, with serious implications from aesthetic and functional points of view, as well as from a craniofacial growth aspect perspective. Premolars autotransplanted into the maxillary anterior region have been shown to be a biological alternative in this situation. This report describes the clinical management of a case of premature loss of a maxillary central incisor after traumatic injury. A mandibular premolar at the stage of initial root development was transplanted into the alveolar socket of the lost incisor. After 18 years, the transplanted tooth remained responsive to pulp sensibility tests and the periradicular bone and soft tissues were within normal limits. Autotransplantation of premolar teeth into the maxilla could be considered an excellent treatment choice with many biological advantages over implants or fixed dentures as long as proper case selection is followed.

show abstract

Prognostic Factors for Clinical Outcomes in Autotransplantation of Teeth with Complete Root Formation: Survival Analysis for up to 12 Years

Cited by 90 publications

References 48 publications

Technology at the service of surgery in a new technique of autotransplantation by guided surgery: a case report

Technology at the service of surgery in a new technique of autotransplantation by guided surgery: a case report

Successful pulp revascularization of an autotransplantated mature premolar with fragile fracture apicoectomy and plasma rich in growth factors: a 3‐year follow‐up

Calcium Hydroxide Treatment Does Not Alter the Susceptibility of Enterococcus faecalis Biofilms to Sodium Hypochlorite

Contact Info

Product

Resources

About