Success Rate of Autotransplantation of Teeth With an Open Apex: Systematic Review and Meta-Analysis

Atala-Acevedo, Claudia; Abarca, Jaime; Martinez‐Zapata, Maria José; Díaz, Jaime; Olate, Sérgio; Zaror, Carlos

doi:10.1016/j.joms.2016.09.010

Cited by 62 publications

(95 citation statements)

References 63 publications

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“…Certain studies have reported good prognoses after tooth transplantation, with recent success rates exceeding 90% (7,16). However, other studies have demonstrated failure of approximately 23% of transplanted teeth, most commonly because of dentoalveolar ankylosis (4)(5)(6)(7)(8). Therefore, we aimed to investigate whether LIPUS could regenerate PDL and prevent dentoalveolar ankylosis after autotransplantation.…”

Section: Discussionmentioning

confidence: 99%

“…However, autotransplantation is more advantageous than prostheses such as dentures or implant placement in terms of success and periodontal sensation in the alveolar bone; this type of transplantation induces formation of new supporting tissue, continued root formation, eruption, and maintenance of occlusal contact with opposing teeth (1)(2)(3). Use of transplantation is increasing, and its clinical success rates are improving as well (4)(5)(6)(7)(8). Sugai et al reported a success rate of approximately 90% for autotransplantation; however, in the other 10% of cases, the prognosis was poor, and one-third of these cases experienced postoperative dentoalveolar ankylosis (7).…”

Section: Introductionmentioning

confidence: 99%

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A preliminary study of effects of low-intensity pulsed ultrasound (LIPUS) irradiation on dentoalveolar ankylosis

et al. 2017

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The purpose of this experiment was to investigate whether low-intensity pulsed ultrasound (LIPUS) irradiation can inhibit dentoalveolar ankylosis in transplanted rat teeth. LIPUS irradiation (the pulsed ultrasound signal had a frequency of 3.0 MHz, a spatial average intensity of 30 mW/cm 2 , and a pulse ratio of 1:4) was performed on the face over the re-planted teeth of rats for 4 weeks. After the rats were euthanized, we measured mobility (Periotest value [PTV]) of the transplanted and control teeth using a Periotest. Finally, we performed histological evaluation to detect ankylosis. PTVs tended to be significantly lower for re-planted teeth than for control teeth. Histological evaluation revealed that the roots of all re-planted teeth were coalescent with alveolar bone. Furthermore, no ankylosis was observed in three-fifths of the re-planted teeth following LIPUS irradiation. These results indicate the potential efficacy of LIPUS to inhibit dentoalveolar ankylosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A preliminary study of effects of low-intensity pulsed ultrasound (LIPUS) irradiation on dentoalveolar ankylosis

et al. 2017

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“…Eleven radiological variables were selected based on the available evidence in literature regarding their relation to treatment outcome (Almpani, Papageorgiou, & Papadopoulos, ; Atala‐Acevedo et al, ; Chung, Tu, Lin, & Lu, ; Machado, do Nascimento, Ferreira, Mattos, & Vilella, ). The radiological variables were based on the follow‐up protocols of multiple studies concerning autotransplantation of maxillary canines (Ahlberg, Bystedt, Eliasson, & Odenrick, ; Arikan et al, ; Chambers, Reade, & Poker, ; Gonnissen et al, ; Hall & Reade, ; Kallu, Vinckier, Politis, Mwalili, & Willems, ; Kvint, Lindsten, Magnusson, Nilsson, & Bjerklin, ; Lownie, Cleaton‐Jones, Fatti, & Lownie, ; Patel, Fanshawe, Bister, & Cobourne, ; Pogrel, ; Sagne, Lennartsson, & Thilander, ; Sagne & Thilander, ; Schatz & Joho, ).…”

Section: Methodsmentioning

confidence: 99%

Development and validation of the autotransplanted maxillary canine radiological index

Grisar

Vanpoecke

Raes

et al. 2018

Clinical & Exp Dental Res

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The purpose of this study was to propose and validate an index evaluating 2D and 3D radiographic variables of autotransplanted maxillary canines. Setting and sample population are from the Department of Oral and Maxillofacial Surgery at University Hospitals Leuven. Eight oral‐maxillofacial surgeons rated 12 autotransplanted maxillary canines and adjacent bone using 11 rating variables. A new autotransplanted maxillary canine radiological index (AMCRI) was proposed. It consisted of 11 variables. These variables were based on 2D (intraoral) and 3D Cone Beam Computed Tomography (CBCT) radiographs. Intraclass correlation coefficient (ICC) and Fleiss's kappa statistics were performed to analyze intrarater and interrater agreement. Considering cumulative assessment of the AMCRI, the mean ICC value for the interrater agreement of the eight examiners was 0.94, representing an excellent agreement. Intrarater agreement was 0.91. The AMCRI is an objective tool in rating radiological outcome of autotransplanted canines and adjacent bone, when compared with the contralateral canine.

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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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Success Rate of Autotransplantation of Teeth With an Open Apex: Systematic Review and Meta-Analysis

Cited by 62 publications

References 63 publications

A preliminary study of effects of low-intensity pulsed ultrasound (LIPUS) irradiation on dentoalveolar ankylosis

A preliminary study of effects of low-intensity pulsed ultrasound (LIPUS) irradiation on dentoalveolar ankylosis

Development and validation of the autotransplanted maxillary canine radiological index

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

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