Reconsidering some standards in immediate autotransplantation of teeth: Case report with 2-year follow-up

Al‐Khanati, Nuraldeen Maher; Beit, Zafin Kara

doi:10.1016/j.amsu.2022.103470

Cited by 10 publications

(15 citation statements)

References 12 publications

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“…Extra-oral RCT during ATT is not recommended because of the risk of PDL injury and prolonged extra-alveolar time [ 5 ]. Recent studies stated that only 50% of the patients of CARP-based ATT therapy required a root canal treatment with a 100% autotransplantation survival rate [ 23 , 24 ]. Hence, the studies stated that rapid prototyping-assisted autotransplantation is associated with a reduced RCT rate, but an adequate sample size and long-term follow-ups are required for further study.…”

Section: Discussionmentioning

confidence: 99%

Combined Application of Virtual Simulation Technology and 3-Dimensional-Printed Computer-Aided Rapid Prototyping in Autotransplantation of a Mature Third Molar

et al. 2022

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The use of computer-aided rapid prototyping (CARP) models was considered to reduce surgical trauma and improve outcomes when autotransplantation of teeth (ATT) became a viable alternative for dental rehabilitation. However, ATT is considered technique-sensitive due to its series of complicated surgical procedures and unfavorable outcomes in complex cases. This study reported a novel autotransplantation technique of a 28-year-old patient with an unrestorable lower first molar (#36) with double roots. Regardless of a large shape deviation, a lower third molar (#38) with a completely single root formation was used as the donor tooth. ATT was performed with a combined use of virtual simulation, CARP model-based rehearsed surgery, and tooth replica-guided surgery. A 3D virtual model of the donor and recipient site was generated from cone-beam computed tomographic (CBCT) radiographs prior to surgery for direct virtual superimposition simulation and CARP model fabrication. The virtual simulation indicated that it was necessary to retain cervical alveolar bone during the surgical socket preparation, and an intensive surgical rehearsal was performed on the CARP models. The donor tooth replica was used during the procedure to guide precise socket preparation and avoid periodontal ligament injury. Without an additional fitting trial and extra-alveolar storage, the donor tooth settled naturally into the recipient socket within 30 s. The transplanted tooth showed excellent stability and received routine root canal treatment three weeks post-surgery, and the one-year follow-up examination verified the PDL healing outcome and normal functioning. Patient was satisfied with the transplanted tooth. This cutting-edge technology combines virtual simulation, digital surgery planning, and guided surgery implementation to ensure predictable and minimally invasive therapy in complex cases.

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Section: Discussionmentioning

confidence: 99%

Combined Application of Virtual Simulation Technology and 3-Dimensional-Printed Computer-Aided Rapid Prototyping in Autotransplantation of a Mature Third Molar

et al. 2022

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“…In the past, we thought that completed root formation with small apical diameter would prevent pulp revascularization and healing after DAT, and root canal treatment (RCT) would be a must as near as possible. Later on, emerging evidence let us reconsider this [ [3] , [4] , [5] , [6] ]. The apical foramen size smaller than 1mm does not prevent successful revascularization and healing of pulp tissues [ 4 ].…”

Section: Perspectivementioning

confidence: 99%

Should we predict poor prognosis in autotransplantation of teeth with completed root formation?

Al‐Khanati

Beit

2022

Annals of Medicine &Amp; Surgery

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“…The bulk of published literature on dental transplantation describes autogenous transplantation of teeth within various conditions and indications as a reliable treatment option [1][2][3][4][5][6][7][12][13][14][15][16][17][18][19][20][21]. Allogenic dental transplantation cases, where donor and recipient are two different individuals, are scarce in the medical literature due to several reasons.…”

Section: Transplantation Of Cryopreserved Teethmentioning

confidence: 99%

“…Also, functioning vital periodontium can provide proprioception and thermal feedback, and allow orthodontic treatment [ 1 ]. Moreover, dental implants and peri-implant tissues are more susceptible to bacterial and disease progression [ 11 , 12 ].…”

Section: Reviewmentioning

confidence: 99%

“…Many publications stated that the recipient site must be free from any pathological activity in order to achieve successful transplantation [ 13 , 14 ]. At any rate, pioneering works exist that indicate the possibility of immediate dental transplantation into lesion-associated recipient sites after being managed appropriately [ 12 , 15 , 16 ]. A successful immediate tooth transplantation case with signs of chronic odontogenic infection at the recipient site (e.g., intraoral sinus tract) has been reported recently [ 12 ].…”

Section: Reviewmentioning

confidence: 99%

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Unusual Indications of Teeth Transplantation: A Literature Review

Al‐Khanati¹,

Albassal²,

Beit³

2022

Cureus

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Dental implants are one of the best valid tooth replacement options, though these are not always appropriate in growing young patients. Tooth autotransplantation can be indicated then. However, this is not the only scenario where dental transplantation can be indicated. This comprehensive literature review discusses a wide range of unusual indications of dental transplantation as reported throughout the medical literature. Surprisingly, these indications include management of some developmental dental anomalies, hypodontia, oroantral communications, alveolar clefts, deficient alveolar ridges, ectopic teeth, and maxillofacial injuries. Limited high-quality evidence in this field regarding most of these unusual indications warrants further research of high-quality design.

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Reconsidering some standards in immediate autotransplantation of teeth: Case report with 2-year follow-up

Cited by 10 publications

References 12 publications

Combined Application of Virtual Simulation Technology and 3-Dimensional-Printed Computer-Aided Rapid Prototyping in Autotransplantation of a Mature Third Molar

Combined Application of Virtual Simulation Technology and 3-Dimensional-Printed Computer-Aided Rapid Prototyping in Autotransplantation of a Mature Third Molar

Should we predict poor prognosis in autotransplantation of teeth with completed root formation?

Unusual Indications of Teeth Transplantation: A Literature Review

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