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Keranmu D, Ainiwaer A, Nuermuhanmode N, Ling W. Application of concentrated growth factor to autotransplantation with inflammation in recipient area. BMC Oral Health 2021; 21:556. [PMID: 34717618 PMCID: PMC8557581 DOI: 10.1186/s12903-021-01915-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Accepted: 10/14/2021] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVE The purpose of this study was to apply concentrated growth factor (CGF) to the transplanted area with inflammation, to observe the clinical effects of CGF on the inflammation area assisted by 3D printing technology. METHODS A total of 52 compromised mandibular first or second molar with chronic periapical lesions were transplanted with mature third molars. The patients were divided into CGF group (n = 26) and control group (n = 26) and transplanted into fresh extraction sockets with or without CGF. All the patients underwent clinical and radiographic examinations during the follow-up. RESULTS Average surgery and extra-oral time were 39 min (± 7.8) and 42 s (± 10.2). The success rates of CGF group and control group were 100% and 92.3% respectively. Most of the periapical lesions in CGF group healed completely within 3 months, which was significantly faster than control group. The initial stability of CGF group was better than control group immediately after operation, and the degree of pain in CGF group was lower than control group on the 1st and 3rd day after operation. CONCLUSIONS The application of CGF in recipient site with chronic periapical lesions can accelerate the regeneration of alveolar bone and the healing of inflammation, greatly shorten the healing period. Meanwhile, CGF help to reduce postoperative pain and reaction at the early stage of healing and increase the success rate of autogenous tooth transplantation (ATT). Additionally, the use of 3D printing model can greatly reduce the extra-oral time of donor teeth.
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Affiliation(s)
- Dilinuer Keranmu
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University(Affiliated Stomatological Hospital), Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No. 393, Xinyi Road, Xinshi District, Urumqi, Xinjiang, 830054, China
| | - Ailimaierdan Ainiwaer
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University(Affiliated Stomatological Hospital), Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No. 393, Xinyi Road, Xinshi District, Urumqi, Xinjiang, 830054, China
| | - Nijiati Nuermuhanmode
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University(Affiliated Stomatological Hospital), Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No. 393, Xinyi Road, Xinshi District, Urumqi, Xinjiang, 830054, China
| | - Wang Ling
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University(Affiliated Stomatological Hospital), Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No. 393, Xinyi Road, Xinshi District, Urumqi, Xinjiang, 830054, China.
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Long term survival of mature autotransplanted teeth: A retrospective single center analysis. J Dent 2020; 98:103371. [PMID: 32389731 DOI: 10.1016/j.jdent.2020.103371] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 05/02/2020] [Accepted: 05/04/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The replacement of an irremediably compromised tooth requires an implant rehabilitation or a traditional fixed partial denture. In well-selected cases, a further therapeutic possibility is represented by tooth autotransplantation. Although dental transplants are poorly understood and practiced, the international literature agrees that it is considered the first choice when applicable. The advantages of this technique are numerous: use of an autologous element, maintenance of tissue trophism, aesthetic and functional restoration, costs reduction. Although autotransplantation is often performed with immature teeth, even mature teeth with fully formed apex can be used as donors. The aim of the present work was to analyze consecutive cases of completely formed donor teeth autotransplantations performed from 2005 to 2011 in 21 patients for evaluating the survival and success rate. MATERIALS AND METHODS The medical records of patients who underwent transplantation in a specialized center in Rimini (Italy) from 2005 to 2011 were checked. Only transplants of mature donor molars were considered. Patients were called up to evaluate the survival rate and success rate. RESULTS The mean age at the time of the surgery was 33,6 ± 7,4; mean follow up was 11,9 years ±1,9. Success rate at the time of latest recall visit was 80 % and survival 95 % of the analyzed cases. CONCLUSIONS The survival and success rate are in complete agreement with the most recent literature and confirm that the technique of autotransplantation is reliable when indications and protocols are rigidly followed, also using mature teeth as donors.
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Schaaf H, Kerkmann H, Pitka F, Bock NC, Attia S. Replantation of a displaced incisor in a boy with a cleft lip and alveolus: a case report. J Med Case Rep 2016; 10:255. [PMID: 27633512 PMCID: PMC5025610 DOI: 10.1186/s13256-016-1041-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 08/25/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Tooth replantation after traumatic avulsion or transplantation is a challenge in oral surgery. A special method named auto-alloplastic replantation, in which a titanium post is used after extraoral endodontic treatment, combines several advantages. The treatment is performed in one step with no further endodontic intervention, no wide root canal instrumentation, no recontamination, and reduced endodontic infection. This is the first report on replantation of an ectopic tooth in a patient with a cleft lip and alveolus using this method. CASE PRESENTATION This case report presents the treatment of a 13-year-old white boy with a cleft lip and alveolus who had an ectopic incisor in the cleft region. His rehabilitation was performed by a tooth transposition using the auto-alloplastic replantation technique. After preparation of the displaced incisor from the vestibule, extraoral endodontic treatment followed using a titanium post prior to replantation in a newly formed socket. In the follow-up, the tooth is still in place and functioning after 2 years. CONCLUSIONS This method can be used to bridge the years while a patient is young and jaw growth is incomplete until bone augmentation and implantation can be performed. The tooth will preserve the remaining alveolar ridge and help the adolescent psychologically.
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Affiliation(s)
- Heidrun Schaaf
- Maxillofacial Surgery MKG am Theater, Neuenweg 16, 35390, Giessen, Germany.
| | - Heiko Kerkmann
- Maxillofacial Surgery MKG am Theater, Neuenweg 16, 35390, Giessen, Germany
| | - Felix Pitka
- Maxillofacial Surgery MKG am Theater, Neuenweg 16, 35390, Giessen, Germany
| | - Niko Christian Bock
- Department of Orthodontics, University of Giessen, Schlangenzahl 14, 35392, Giessen, Germany
| | - Sameh Attia
- Department of Maxillofacial Surgery, University of Giessen, Schlangenzahl 14, 35392, Giessen, Germany
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Delayed tooth replantation following root canal filling with calcium hydroxide and MTA: Histomorphometric study in rats. Arch Oral Biol 2015; 60:1254-62. [DOI: 10.1016/j.archoralbio.2015.02.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Revised: 11/28/2014] [Accepted: 02/02/2015] [Indexed: 01/04/2023]
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Primary canine auto-transplantation: a new surgical technique. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119:158-69. [DOI: 10.1016/j.oooo.2014.07.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2014] [Revised: 06/03/2014] [Accepted: 07/07/2014] [Indexed: 11/19/2022]
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Nagori SA, Bhutia O, Roychoudhury A, Pandey RM. Immediate autotransplantation of third molars: an experience of 57 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 118:400-7. [DOI: 10.1016/j.oooo.2014.05.011] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2014] [Accepted: 05/12/2014] [Indexed: 12/21/2022]
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Sugai T, Yoshizawa M, Kobayashi T, Ono K, Takagi R, Kitamura N, Okiji T, Saito C. Clinical study on prognostic factors for autotransplantation of teeth with complete root formation. Int J Oral Maxillofac Surg 2010; 39:1193-203. [PMID: 20630706 DOI: 10.1016/j.ijom.2010.06.018] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2008] [Revised: 05/18/2010] [Accepted: 06/14/2010] [Indexed: 10/19/2022]
Abstract
Autotransplantation is often performed to replace a missing tooth, but tooth autotransplantation has been reported in fewer teeth with complete root formation than those with incomplete root formation. The aim of this prospective study was to evaluate the factors that affect the prognosis of autotransplantation of teeth with complete root formation. 109 patients with 117 transplants were studied. Of the 117 transplants investigated, 14 (12%) failed during the observation period. The overall 1-year survival rate was 96%; the 5-year survival rate was 84%. The major causes of failure were unsuccessful initial healing and replacement root resorption with periodontal inflammation. Factors significantly associated with unsuccessful transplantation, in single factor analysis, were age 40 years or more, molar tooth as donor, probing pocket depth to 4mm or more, history of root canal treatment, multi-rooted teeth and fixation with sutures. Pocket depth of 4mm or more and history of root canal treatment appeared to increase the risk of unsuccessful transplantation in multivariate analysis. It is suggested that the pocket depth of the donor tooth and history of root canal treatment are related to the healing of paratransplantal tissue and root resorption.
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Affiliation(s)
- T Sugai
- Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
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Aversa R, Apicella D, Perillo L, Sorrentino R, Zarone F, Ferrari M, Apicella A. Non-linear elastic three-dimensional finite element analysis on the effect of endocrown material rigidity on alveolar bone remodeling process. Dent Mater 2009; 25:678-90. [DOI: 10.1016/j.dental.2008.10.015] [Citation(s) in RCA: 69] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2007] [Revised: 09/20/2008] [Accepted: 10/21/2008] [Indexed: 11/30/2022]
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Pohl Y, Geist P, Filippi A. Transplantation of primary canines after loss or ankylosis of upper permanent incisors. A prospective case series study on healing and survival. Dent Traumatol 2008; 24:388-403. [DOI: 10.1111/j.1600-9657.2008.00563.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Filippi C, Kirschner H, Filippi A, Pohl Y. Practicability of a tooth rescue concept the use of a tooth rescue box. Dent Traumatol 2008; 24:422-9. [DOI: 10.1111/j.1600-9657.2008.00598.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Pohl Y, Krema M, Kirschner H. Interrelation between endodontic status, pathologic cemental granules and periodontal ligament adhering to the root of extracted teeth. ACTA ACUST UNITED AC 2006; 103:127-33. [PMID: 17178506 DOI: 10.1016/j.tripleo.2005.11.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2005] [Revised: 11/30/2005] [Accepted: 11/30/2005] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To evaluate if the endodontic status has influence on the adherence of periodontal ligament (PDL) to extracted teeth and if the presence of "pathologic granules" is correlated to the endodontic status and/or the amount of adhering PDL. STUDY DESIGN Extracted teeth with different endodontic status and exhibiting no marginal periodontitis were histologically examined. RESULTS Observation of pathologic granules was related to a nonvital endodontium and to acute peroperative inflammation. Pathologic granules and denudation of the extracted roots were significantly related. Acute peroperative inflammation and low extraction forces were related to denudation of the roots. Such relation was not found for endodontic status, tooth type, root-form, and age of patients. CONCLUSION The existence of pathologic granules in unexposed cementum is strictly related to teeth with a nonvital endodontium. There is no effect of the endodontic status on the adherence of PDL when an acute inflammation is absent.
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Affiliation(s)
- Yango Pohl
- Department of Oral Surgery, University of Bonn, Bonn, Germany.
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Filippi A, Pohl Y, von Arx T. Treatment of replacement resorption by intentional replantation, resection of the ankylosed sites, and Emdogain�? results of a 6-year survey. Dent Traumatol 2006; 22:307-11. [PMID: 17073922 DOI: 10.1111/j.1600-9657.2005.00363.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The present clinical study investigated the outcome of intentional replantation using resection of the ankylosed sites of the root, extraoral endodontic treatment using titanium posts and Emdogain for periodontal healing following trauma-related ankylosis. During an evaluation period of 6 years, 16 ankylosed teeth affected by replacement resorption were treated as described. Evaluation parameters before treatment and during the follow-up period included Periotest scores, percussion sound and periapical radiographs. All findings were compared to those of the adjacent teeth. In a second accident, one tooth was lost after 7 months and was excluded as a dropout. Ankylosis did not recur in seven replanted teeth, which were observed for an average of 52.3 months (range: 24-68 months). Ankylosis recurred in eight teeth after an average period of 12 months (range: 4-26 months). An infraocclusion, normal or only slightly reduced Periotest scores and normal percussion sound were preoperatively found in six of seven successfully replanted teeth, which corresponded to a relatively small area of ankylosis. The majority of the teeth showing recurrent ankylosis preoperatively presented with normal position, negative Periotest scores and a high percussion sound which corresponded to an extended area of ankylosis. Statistically significant relationship between preoperative findings and the treatment outcome (P = 0.031) have become apparent. The results indicate that the treatment of minor areas of ankylosis by intentional replantation, resection of the ankylosed sites and Emdogain appeared to prevent or delay the recurrence of ankylosis in 7 of 15 teeth.
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Affiliation(s)
- Andreas Filippi
- Department of Oral Surgery, University of Basel, Basel, Switzerland.
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Pohl Y, Filippi A, Kirschner H. Results after replantation of avulsed permanent teeth. I. Endodontic considerations. Dent Traumatol 2005; 21:80-92. [PMID: 15773887 DOI: 10.1111/j.1600-9657.2004.00297.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Following avulsion and replantation, teeth are at risk for infection and infection related resorption (IRR). Severe discolorations of tooth crowns and cervical root fractures are common. This study presents data on endodontic related complications of avulsed teeth replanted following an extraoral endodontic treatment. Periodontal aspects will be discussed in the second part of the present publication. Twenty-eight permanent teeth in 24 patients aged seven to 17 years were replanted after avulsion. All teeth could be evaluated. In all teeth extraoral endodontic treatment by retrograde insertion of ceramic or titanium posts was performed. Mean observation period was 31.2 months (median: 24.1 months). Nine teeth healed with a functional periodontal ligament (PDL) (functional healing, FH), 19 teeth exhibited replacement resorption (RR), which was succeeded by IRR in three teeth after observation periods of more than 14 months. Diagnosis was set to tunneling resorption (one case) and to cervical resorption preceded by complete RR (two cases). No early IRR was observed. All six teeth rescued in physiologic conditions (cell culture medium of tooth rescue box) exhibited FH. Discolorations of tooth crowns or other complications (cervical root fractures, fractures of posts) were not observed. No differences in the healing results of immature and mature teeth were observed which is in contrast to previous studies. This finding is explained with the different endodontic treatment protocols. Extraoral endodontic treatment by retrograde insertion of posts prevents early IRR and minimizes the overall incidence of IRR. The method does not negatively influence periodontal healing. As there are further advantages (no discoloration, no root fractures, patient not involved, less radiographs, less time consumption, less costs) the method is recommended in isolated teeth before replantation. Especially immature teeth profit from the prevention of complications.
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Affiliation(s)
- Yango Pohl
- Department of Oral Surgery, University of Bonn, Germany.
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