Unusual Indications of Teeth Transplantation: A Literature Review

Al‐Khanati, Nuraldeen Maher; Albassal, Ahmad; Beit, Zafin Kara

doi:10.7759/cureus.29030

Cited by 4 publications

(2 citation statements)

References 80 publications

(125 reference statements)

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“…However, as far as dental auto-transplantation research goes, no studies seem to address whether the quality of the initial bone of the recipient site can affect procedural outcomes. Recent evidence points to bone grafts in atrophic alveolar areas as a successful option in the pre-auto-transplantation phase, in addition to auto-transplantation itself, which is indicated in the management of deficient alveolar ridges [ 48 , 49 ]. More generally, remodeling processes (formation and resorption) permanently occur in dental bone tissue and are modulated by bone metabolism [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

New Perspectives in Third Molar Auto-Transplantation: Literature Review and a Case Report of Clinical, Financial and Forensic Implications

Putrino,

Marinelli,

Agrillo

et al. 2024

Medicina

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Third molar extraction is the most common procedure in oral and maxillofacial surgery. Third molars are considered less functional than other teeth and are often extracted. Sometimes, they are also used for auto-transplantation for the benefit of oral rehabilitation. Since many biological factors are involved in this surgical approach, herein, we outline a review of the biological characteristics of medico-legal/forensic interest, in addition to presenting a successful clinical case. A scoping review of currently available research data (following the principles of PRISMA-ScR or the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) on third molar auto-transplantation was conducted by drawing upon the main databases (Scopus, PubMed, Google Scholar and LILACS) to evaluate biological and clinical characteristics possibly relatable to forensic issues. All the collected data were summarized and elaborated on for the purpose of this article. A patient underwent extraction of the right upper first molar and auto-transplantation of the unerupted ipsilateral third molar. Many biologic and clinical factors are involved in the success of this clinical procedure. Knowledge of third molar anatomy, of its development and viable surgical approaches are all essential elements; just as important are the treatment of the tooth before and after transplantation and the integrity of the periodontal ligament. Follow-up of the clinical case for 5 years made it possible to verify the stability of the procedure over time. Third molar auto-transplantation is feasible and cost-effective. However, the use of third molars as donor teeth in auto-transplantation may have medico-legal implications. The lack of official protocols and consistent evidence-based guidelines for operators still prevent such a procedure from becoming mainstream; therefore, it is viewed with suspicion by clinicians and patients, even though the biological factors herein detected point to a reasonably high degree of safety. The understanding of many specific biological and clinical factors involved in the stability of third molar auto-transplantation allows for a thorough understanding of the forensic implications relevant to clinical practice. Effective communication and information provision are therefore of utmost importance, in the interest of both patients and doctors.

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Section: Discussionmentioning

confidence: 99%

New Perspectives in Third Molar Auto-Transplantation: Literature Review and a Case Report of Clinical, Financial and Forensic Implications

Putrino,

Marinelli,

Agrillo

et al. 2024

Medicina

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“…Tooth autotransplants are typically recommended for people with tooth loss due to trauma or dental caries, missing teeth, impacted teeth, tumors, treatment-related injuries, and teeth with a poor prognosis [ 17 ], the last group being the most prevalent in clinical studies related to third molars. Moreover, a wide range of indications have been discussed recently as an alternative to dental implants, as a space maintainer, in hypodontia, in regional odontodysplasia, in oroantral communication, where bone generation is needed, in clefts, and also in jaw reconstruction [ 18 ]. This paper aimed to review treatment alternatives when autotransplantation is used to replace teeth [ 19 ] damaged by trauma, mainly restoring the aesthetic appearance and functional occlusion and inclination of the incisors.…”

Section: Introductionmentioning

confidence: 99%

Tooth Autotransplantation as an Alternative Biological Treatment: A Literature Review

Kakde¹,

Rajanikanth²

2022

Cureus

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Tooth autotransplantation is the treatment modality in which a tooth is transferred from one site to another in the same person. This technique has a history of centuries. However, it is not well-known or welldocumented. Essential aspects of the clinical procedure, criteria for performing tooth autotransplantation, advantages, disadvantages, and complications are also discussed in the review. It has been a public health concern considering the prevalence of dental trauma in children, the financial burden of treatment, and the long recovery times associated with dental injuries. There is evidence that tooth autotransplantation is an effective method of restoring missing teeth, particularly for growing children. Even if autotransplantation fails, the soft tissue and bone conditions would likely still be suitable for subsequent implant treatment. Appropriate patient and tooth selection are essential to the technique's success. Other prognostic factors are also discussed. The findings from the available literature suggest that tooth autotransplantation is a viable and cost-effective technique. This paper discusses the literature and protocols the authors implemented for autotransplantation of the tooth.

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Midterm outcomes of autogenous mature third molars transplantation into surgically created sockets: A retrospective cohort study

Ainiwaer,

Gong,

Zuolipahaer

et al. 2024

Dental Traumatology

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Background/AimsThe purpose of this study was to observe the outcome of mature third molars transplantation into surgically created sockets with the assistance of computer designed three dimensional (3‐D) printed replicas and compare its outcome with the conventional fresh socket autotransplantation.Material and MethodsThis study included total of 96 mature third molars autotransplanted in 96 cases with the guidance of computer designed 3‐D printed replicas. Forty‐eight teeth autotransplanted into surgically created sockets were enrolled into the surgically created socket group and 48 teeth conventionally autotransplanted into fresh sockets were enrolled into the fresh socket group. In the surgically created socket group, mature third molars were autotransplanted into surgically prepared sockets at the site of previously missed or extracted molars in the alveolar bone and in the fresh socket group, autotransplantation of mature third molars were performed in fresh sockets of extracted diseased molars simultaneously. After transplantation, the visual analogue scale (VAS) score, Landry Wound Healing Index (LWHI), mobility and probing depth (PD) of the transplanted teeth were measured and the patient satisfaction questionnaire were held in both group. All patients underwent clinical and radiographic examinations during the follow‐up.ResultsDuring the mean follow‐up period of 47.63 ± 16.78 months (range 18–78 months), 92 out of 96 teeth remained in situ without clinical or radiographic complications with overall success rate of 95.83%. No statistically significant differences were found in success and survival rates between the two group. The average extra‐oral time of the donor teeth were 60.76 ± 22.41 s and mean positioning trials of the donor teeth were 2.43 ± 1.19. The VAS score at Day 1 in the surgically created socket group was higher than the fresh socket group (p < .05). LWHI scores in the surgically created group were lower than the fresh socket group during the first 2 weeks (p < .05). The degree of mobility of the transplanted teeth in both group showed no statistically significant difference during the first 3 months. PD in the surgically created group were higher than the fresh socket group in the first month but there were no statistically significant difference after 1 month. Twenty‐six out of 48 cases in the surgically created group needed crown restoration while only 10 cases went through crown restoration in the fresh socket group. Most patients in both group were satisfied with the treatment.ConclusionsAutogenous mature third molars transplantation into surgically created sockets is as effective as conventional fresh socket transplantation. This technique is worth recommending in carefully selected cases and optimistic results can be achieved.

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Unusual Indications of Teeth Transplantation: A Literature Review

Cited by 4 publications

References 80 publications

New Perspectives in Third Molar Auto-Transplantation: Literature Review and a Case Report of Clinical, Financial and Forensic Implications

New Perspectives in Third Molar Auto-Transplantation: Literature Review and a Case Report of Clinical, Financial and Forensic Implications

Tooth Autotransplantation as an Alternative Biological Treatment: A Literature Review

Midterm outcomes of autogenous mature third molars transplantation into surgically created sockets: A retrospective cohort study

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