Successful autotransplantation of a mature mesiodens to replace a traumatized maxillary central incisor

Dharmani, Umesh; Rajput, Akhil; Kamal, Charan; Talwar, Sangeeta; Verma, Mahesh

doi:10.1111/iej.12347

Cited by 7 publications

(10 citation statements)

References 21 publications

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“…The donor tooth can be an embedded, impacted, or erupted tooth, and the recipient site can be a previous extraction site, a surgically prepared socket, or the site of a congenitally missing tooth [ 2 – 4 ]. The most common donor teeth used in clinical practice are third molars [ 5 – 7 ], premolars [ 8 , 9 ], impacted canines [ 10 ], and supernumerary teeth [ 11 ]. Both mandibular and maxillary teeth have been successfully used as donor teeth, and teeth have also been successfully autotransplanted into mandibular and maxillary sites.…”

Section: Introductionmentioning

confidence: 99%

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Autotransplantation of mature and immature third molars in 23 Chinese patients: a clinical and radiological follow-up study

Haozhe

Shen

2017

BMC Oral Health

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BackgroundWe investigated the clinical and radiographic outcomes of autotransplanted teeth over a follow-up period of 2 to 8 years, and summarize the findings of other relevant studies with regard to the primary factors that influence a good prognosis in such patients.MethodsTwenty-three patients (6 men, 17 women) who attended Tanggu Stomatological Hospital, Tianjin, China, from 2008 through 2013, were included in the study. These patients presented with a variety of dental problems, including tooth loss, residual crowns, missing first or second molars, dental trauma, tooth fracture, and unrestored teeth. A total of 26 third molars, including 2 immature molars, were autotransplanted in these patients. The success rate of autotransplantation was assessed on the basis of clinical and radiographic outcomes after follow-up periods ranging from 2 to 8 years.ResultsClinical examination revealed stability of all 26 transplanted teeth, with satisfactory masticatory function and no patient discomfort. Radiographic examination revealed normal periapical tissues and an intact lamina dura surrounding the tooth root, indicating adequate healing of periodontal tissues.ConclusionsAutotransplantation achieved good results in the Chinese sample population investigated, and was associated with an excellent prognosis. Rigorous case selection, adequate protection of the periodontal ligament, and proper oral hygiene contribute significantly to the long-term success of the procedure.

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Section: Introductionmentioning

confidence: 99%

“…Many previous studies have demonstrated that autotransplantation is a valid treatment strategy in various circumstances [ 3 – 11 ]. For example, viable but nonfunctional teeth, such as third molars or malpositioned teeth, can be moved to the extraction sites of nonrestorable first or second molars.…”

Section: Introductionmentioning

confidence: 99%

Autotransplantation of mature and immature third molars in 23 Chinese patients: a clinical and radiological follow-up study

Haozhe

Shen

2017

BMC Oral Health

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“…Dharmani et al (53) presented a case of a 17-year-old male 1-week post-trauma to tooth 12 where a horizontal root fracture was diagnosed and given a poor prognosis. Dharmani et al (53) presented a case of a 17-year-old male 1-week post-trauma to tooth 12 where a horizontal root fracture was diagnosed and given a poor prognosis.…”

Section: Alternatives To Dental Implantsmentioning

confidence: 99%

“…The tooth was extracted and replaced with a mesiodens that was stabilized and received root canal treatment. Upon a 2-year recall, the tooth was judged esthetic and functional (53). Tsurumachi and Kuno (54) discussed autotransplantation of a maxillary premolar after extraction of an ankylosed incisor.…”

Section: Alternatives To Dental Implantsmentioning

confidence: 99%

Replacement of severely traumatized teeth with immediate implants and immediate loading: literature review and case reports

Sheng

Silvestrin

Zhan

et al. 2015

Dental Traumatology

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One of the options for management of severely traumatized dentitions is to provide immediate implant placement with immediate loading. Three representative cases out of 15 patients with 23 traumatized teeth treated to date in our clinic are presented. None had labial bone fractures. The teeth were replaced with NobelReplace Groovy implants (Nobel Biocare, Gothenburg, Sweden) in the fresh sockets immediately after extraction. They were placed toward the palatal areas in the sockets and 3 mm below the gingival margins. If there were gaps between implants and sockets wider than 1 mm, particulate deproteinized bovine bone was grafted in the gaps. Immediately after placement, the implants were loaded with provisional prostheses. The final restorations were installed 3-4 months later. The patients were reevaluated clinically and radiographically 1-3 years after the final restorations had been placed. In all 15 patients, excellent functional and esthetic results were achieved. No implants showed radiolucency, peri-implant suppuration, or mobility. The patients were satisfied with the results. Immediate implant placement with immediate loading is an option that provides good treatment outcomes and allows good functional and esthetic results, as well as addressing the social/psychological aspects of dental trauma.

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“…[4] Literature indicates that supernumerary teeth may have critical implications in the endodontic practice. [8][9][10] As such, the purpose of this paper is to discuss the implications of such anatomy on RCT procedures and clinical outcomes.…”

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confidence: 99%

Supernumerary teeth: A review on a critical endodontic challenge

Ahmed

Kottoor

Hashem

2018

European Journal of General Dentistry

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A thorough knowledge of tooth morphological variations is a fundamental prerequisite for the successful root canal treatment (RCT). [1][2][3] A supernumerary tooth is an additional tooth to the normal series of teeth and may be seen in any quadrant of the jaws in both primary and permanent dentitions. [4,5] The etiology of supernumerary teeth is not completely understood, but the hyperactivity theory is the most widely accepted theory which suggests that supernumeraries are formed as a result of local, independent hyperactivity of the dental lamina. [6] The prevalence of this developmental anomaly ranges from 0.1% to >3%. [6] Heredity may also play a role in its occurrence. [6] Supernumerary teeth can be either supplemental or rudimentary depending on their form. Supplemental refers to the supernumerary teeth of normal shape and size, whereas rudimentary refers to the teeth of abnormal shape and smaller size, including conical, tuberculate, and molariform types. [6] Supernumeraries may also be categorized into three types according to their locations; mesiodens, paramolar, and distomolar. [6] Owing to the various anatomical variations and the relation to neighboring teeth, the differentiation from gemination might be difficult, if not impossible. [7] Supernumerary teeth may be discovered by the dental practitioner as an accidental finding on a radiograph or as the cause of an impacted tooth and/or esthetic impairment. [4] Literature indicates that supernumerary teeth may have critical implications in the endodontic practice. [8][9][10] As such, the purpose of this paper is to discuss the implications of such anatomy on RCT procedures and clinical outcomes. LIterature Search MethodoLogyAn electronic search was conducted, from January 1975 to September 2016, to identify papers on supernumerary teeth in the human dentition. Related studies and case reports written in the English language and published in major endodontic journals were included.

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Successful autotransplantation of a mature mesiodens to replace a traumatized maxillary central incisor

Cited by 7 publications

References 21 publications

Autotransplantation of mature and immature third molars in 23 Chinese patients: a clinical and radiological follow-up study

Autotransplantation of mature and immature third molars in 23 Chinese patients: a clinical and radiological follow-up study

Replacement of severely traumatized teeth with immediate implants and immediate loading: literature review and case reports

Supernumerary teeth: A review on a critical endodontic challenge

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