1
|
Krupp J, Petrakakis P, Jost-Brinkmann PG, Meinzer S, Widbiller M, Niederle C, Geserick M, Nolte D. Survival of retained permanent canines after autotransplantation: A retrospective cohort study. Am J Orthod Dentofacial Orthop 2024; 165:533-545. [PMID: 38340133 DOI: 10.1016/j.ajodo.2023.11.011] [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: 03/01/2022] [Revised: 11/01/2023] [Accepted: 11/01/2023] [Indexed: 02/12/2024]
Abstract
INTRODUCTION After third molars, canines are the teeth most commonly affected by displacement and impaction. Although orthodontic surgical treatment represents the standard method for realignment of canines, autotransplantation (autoTX) functions as the second-line therapy if orthodontic alignment does not succeed in treating impaction and severe displacement. This retrospective cohort study aimed to identify clinical predictors for postoperative survival and endodontic treatment needs after autoTX of severely displaced and impacted canines. METHODS The study cohort comprised patients who received canine autoTX in a single surgical center between 2006 and 2018. Canines with severe displacement and retention were surgically treated using a standardized protocol. Statistical analysis of survival probability was performed with the Kaplan-Meier method, and bivariate data were analyzed using logistic regression and the Pearson chi-square test. Nonparametric continuous variables were analyzed using the Mann-Whitney U test. RESULTS Data from 319 patients with 378 canine grafts were available for analysis after a mean follow-up of 54.7 ± 36.5 months on the patient level (range, 0.3-181.8 months). With 25 lost autotransplants, the cumulative survival rate was 93.4%. Patient age at surgery, the state of the apical foramen, endodontic treatment need, and persistence of deciduous teeth at the implantation site had a significant negative impact on autotransplant survival (P <0.05). Endodontic treatment need was significantly related to the patient's age at surgery, the state of the apical foramen, and preoperative orthodontic traction (P <0.05). Thus, these independent variables were identified as clinical predictors for the survival of both the autotransplant and the dental pulp. Gender, ischemia time, postoperative ankylosis, or site of autoTX did not influence any of the outcome variables. CONCLUSIONS The high survival rates of autotransplanted permanent canines make this treatment a promising option, especially in patients with severe tooth displacement, in which orthodontic treatment alone cannot provide predictable alignment, irrespective of the patient's age. Interpreting age and preoperative orthodontic traction as delaying the onset of autoTX and state of apex, time-dependent aspects seem to be of great importance for postoperative complications leading to endodontic treatment or graft loss. Therefore, early implementation of autoTX as a treatment modality for impacted, severely displaced, and vain exposed canines in daily surgical practice should be encouraged.
Collapse
Affiliation(s)
- Jill Krupp
- Praxisclinic for Oral and Maxillofacial Surgery, Munich, Germany
| | | | - Paul-G Jost-Brinkmann
- Department of Orthodontics and Dentofacial Orthopedics, Charité Center for Oral Health Sciences CC3, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität, Berlin, Germany
| | - Sebastian Meinzer
- Praxisclinic for Oral and Maxillofacial Surgery, Munich, Germany; Faculty of Medicine, Ludwig Maximilian University of Munich, Munich, Germany
| | - Matthias Widbiller
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
| | | | | | - Dirk Nolte
- Praxisclinic for Oral and Maxillofacial Surgery, Munich, Germany; Faculty of Medicine, Ruhr University, Bochum, Germany.
| |
Collapse
|
2
|
Boschini L, Giudice A, Melillo M, Bennardo F, Abella Sans F, Arcari M, Tagliatesta L. Computer-Guided Surgery Can Avoid Prophylactic Endodontic Treatment in Autologous Tooth Transplantation: A 5-Year Follow-Up Case Report. Dent J (Basel) 2024; 12:124. [PMID: 38786522 PMCID: PMC11120491 DOI: 10.3390/dj12050124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Revised: 04/09/2024] [Accepted: 04/16/2024] [Indexed: 05/25/2024] Open
Abstract
Autotransplantation is a successful technique to replace compromised teeth. This study presents a computer-guided surgical approach for preparing the receiving socket for a mature mandibular third molar donor tooth with a wait-and-see approach instead of prophylactic endodontic treatment. A 42-year-old woman developed root resorption of tooth 3.7. Extraction of 3.7 and autotransplantation of 3.8 was planned, following a 6-week orthodontic phase for periodontal ligament activation and teeth mobilization. Due to the different root morphology between the compromised and donor teeth and the high mandibular bone density, the receiving socket preparation was performed using guided surgery templates. Two surgical splints were designed with a surgical planning software. Tooth 3.7 was extracted, the recipient site was guided-milled, and tooth 3.8 was transplanted into the new socket in approximately one second of extra-alveolar time. The rapidity of the extra-alveolar time facilitated complete healing without resorting to root canal treatment. Five-year radiological control does not show any periapical lesion or root resorption. The surgical procedure for tooth autotransplantation is fundamental: it must be as atraumatic as possible to preserve the periodontal ligament of the tooth and the receiving socket, and the dentist must minimize the extra-alveolar time. Guided surgery is a reliable solution to combine all these aspects.
Collapse
Affiliation(s)
- Luca Boschini
- Dental Clinic, Ambulatorio Odontoiatrico Boschini, 47922 Rimini, Italy;
| | - Amerigo Giudice
- Department of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy;
| | - Michele Melillo
- Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy;
| | - Francesco Bennardo
- Department of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy;
| | - Francesc Abella Sans
- Department of Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, 08195 Barcelona, Spain;
| | - Matteo Arcari
- Unit of Oral Surgery, Department of Health Sciences, Santi Paolo and Carlo Hospital, University of Milan, 20142 Milan, Italy; (M.A.)
| | - Luigi Tagliatesta
- Unit of Oral Surgery, Department of Health Sciences, Santi Paolo and Carlo Hospital, University of Milan, 20142 Milan, Italy; (M.A.)
| |
Collapse
|
3
|
Fekonja A. Comparisons of Two Different Treatment Methods for Impacted Maxillary Canines: A Retrospective Study. J Clin Med 2024; 13:2374. [PMID: 38673647 PMCID: PMC11051128 DOI: 10.3390/jcm13082374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2024] [Revised: 04/13/2024] [Accepted: 04/18/2024] [Indexed: 04/28/2024] Open
Abstract
Background: The impaction of the maxillary canine is a common occurrence, and orthodontists must be prepared to manage it. The purpose of this article is to present a study of the efficacy of a double-wire orthodontic appliance compared to a control group in the alignment of impacted maxillary canines in the dental arch. Methods: To diagnose an impacted maxillary canine, a panoramic radiograph was taken and a detailed analysis was performed by the same orthodontist. This article presents the results of 28 impacted maxillary canines with inclusion criteria of A2 (tooth angulation to the midline 16°-45°), V1 (vertical height of the tooth crown above the cementoenamel junction but less than half the length of the root of the maxillary lateral incisor), and O3 (medial position of the canine crown of more than half but less than the entire root width of the lateral incisor) positions in 21 patients (7 males and 14 females) with a mean age of 14.02 years (SD = 1.61) who were treated by the same orthodontist for impacted maxillary canines using a fixed double-wire orthodontic appliance. The analyzed data were compared with the control group (treated with a fixed orthodontic appliance and active ligature), which was matched for pretreatment age and the A2, V1, and O3 positions of the impacted maxillary canine. Results: With both methods, the impacted maxillary canines were aligned and guided into a correct position in the dental arch, but the mean active orthodontic traction of 31 ± 4.2 weeks in the SG was statistically significantly shorter (p < 0.05) in comparison to 37 ± 6.3 weeks in the CG, and the number of visits was statistically significantly (p < 0.05) fewer in the SG (5 ± 2) than in the CG (11 ± 5). Conclusions: The findings of this study are important to the field of orthodontics and show that the alignment of impacted maxillary canines with A2, V1, and O3 positions can be achieved with both methods, but with the double-wire appliance, the treatment time was shorter and the number of visits was statistically significantly fewer. The results of this study suggest that this approach may be more efficient and cost-effective compared to conventional methods.
Collapse
Affiliation(s)
- Anita Fekonja
- Department of Orthodontic Health Centre Maribor, Ulica Talcev 9, 2000 Maribor, Slovenia;
- Faculty of Medicine, University of Maribor, Taborska ulica 8, 2000 Maribor, Slovenia
| |
Collapse
|
4
|
Krasny M, Krasny K, Wojtowicz A. Long term outcomes of en-block autotransplantation of a tooth. Cell Tissue Bank 2023; 24:67-73. [PMID: 35639298 DOI: 10.1007/s10561-022-10017-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 05/10/2022] [Indexed: 11/02/2022]
Abstract
Repositioning of impacted teeth in the dental arch through en-bloc autotransplantation showed short-term efficacy of 89%. The objective of this study was to evaluate the technique for long-term efficacy. The analysis involved 23 teeth transplanted to the alveolar ridge through harvesting the tooth with the adjacent bone tissue. Development of the root was completed and the apical foramen was closed in all the teeth. The teeth were examined clinically and radiologically (CBCT) and compared to contralateral ones. The obtained data were analysed statistically. The efficacy of the procedure amounted to 81% including two teeth lost at an early stage and another two lost during follow-up. The mean age of patients upon performing the procedure was 29.8. The long-term follow-up amounted to the mean of 34.3 months. In the study group recession of 1-2 mm as well as 3-5 mm was found, which was not noted on the control group. In 11.1% of the study group teeth the external root resorption was observed. No transplanted tooth underwent root canal treatment, no periapical changes were observed at CBCT and 77.8% of those showed positive reaction to ethyl chloride. One case of ankylosis was observed in tooth 11 and in two cases increased mobility of the transplanted tooth was found. Regeneration of nerves as well as revascularization in the en-bloc autotransplantation proceeded with high predictability and the risk of ankylosis of the treated tooth seemed to be negligible. Gingival recession was observed more often in case of en-bloc transplantation compared to the control group. The long-term follow-up suggested that this the technique does not prevent external resorption in 100%.
Collapse
Affiliation(s)
- Marta Krasny
- Medicare Dental Clinic, Popiełuszki 17a/102 Street, 01-595, Warsaw, Poland.
| | - Kornel Krasny
- Medicare Dental Clinic, Popiełuszki 17a/102 Street, 01-595, Warsaw, Poland
| | - Andrzej Wojtowicz
- Department of Dental Surgery, Medical University of Warsaw, Binieckiego 6 Street, 02-097, Warsaw, Poland
| |
Collapse
|
5
|
Gómez Meda R, Abella Sans F, Esquivel J, Zufía J. Impacted maxillary canine with curved apex: Three-dimensional guided protocol for autotransplantation. J Endod 2021; 48:379-387. [PMID: 34929261 DOI: 10.1016/j.joen.2021.12.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 12/08/2021] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Maxillary canines play a crucial role in dental and facial aspect, arch expansion, and efficient occlusion. When surgical exposure measures cannot be executed or the patient does not agree to take the treatment, autotransplantation should be considered. The aim of this case report was to describe a novel surgical technique using virtually planned three-dimensional(3D)-printed templates for guided apicoectomy and guided drilling of the recipient site for an autotransplantation of an impacted maxillary canine with a curved apex. METHODS A 42-year-old male complaining of pain and increased mobility in the maxillary left primary canine came to the clinic. Autotransplantation of the impacted canine was completed using altered methods from guided implant surgery to manufacture 3D-printed templates. Following a full-thickness mucoperiosteal flap elevation, the surgical template for the guided osteotomy and apicoectomy was inserted. This 3D-printed guided allowed the clinician to perform a quick and precise removal of the curved apex, providing an atraumatic extraction of the impacted canine throughout the cyst. Three further 3D surgical guides for implant burs and a 3D replica tooth were printed to modify the recipient socket. After the final position, the tooth was semi-rigid splinted to the adjacent teeth. RESULTS Follow-up at 2 years showed complete regeneration of the palatal defect and remodeling of the bone surrounding the maxillary canine. CONCLUSIONS Digitally planned procedures can facilitate the complex execution of an autotransplantation reducing the treatment chair-time and the morbidity for the patient as well as increasing the predictability of the result.
Collapse
Affiliation(s)
| | - Francesc Abella Sans
- Department of Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
| | | | | |
Collapse
|
6
|
Stabryła J, Plakwicz P, Kukuła K, Zadurska M, Czochrowska EM. Comparisons of different treatment methods and their outcomes for impacted maxillary and mandibular canines: A retrospective study. J Am Dent Assoc 2021; 152:919-926. [PMID: 34489068 DOI: 10.1016/j.adaj.2021.05.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 04/26/2021] [Accepted: 05/18/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Impacted canines may pose a functional and an esthetic problem for patients and can affect neighboring incisors. The aim of the study was to compare different treatment methods and their outcomes for impacted maxillary and mandibular canines. METHODS The authors included 102 patients with 118 impacted canines (82 maxillary and 36 mandibular canines). Impacted canine were confirmed during clinical and radiologic examinations. Eighty-five patients (83%) with 97 impacted canines started the treatment. The authors analyzed treatment types and outcomes. Two maxillary and 4 mandibular canines were scheduled for extraction. RESULTS Orthodontic extrusion was used most frequently to treat impacted maxillary canines (89%), whereas orthodontic extrusion and transalveolar transplantation were performed most frequently in impacted mandibular canines (33% and 37.5%, respectively). The treatment was successful in 96% of the maxillary and 95% of the impacted mandibular canines. CONCLUSIONS Different methods were used for impacted maxillary and mandibular canines, but their overall success rate was high. PRACTICAL IMPLICATIONS Successful outcome is determined via a well-planned and carefully executed orthodontic and surgical treatment. Early diagnosis is pivotal in facilitating spontaneous canine eruption and implementing transalveolar transplantation in a timely way.
Collapse
|
7
|
Dioguardi M, Quarta C, Sovereto D, Troiano G, Melillo M, Di Cosola M, Cazzolla AP, Laino L, Lo Muzio L. Autotransplantation of the Third Molar: A Therapeutic Alternative to the Rehabilitation of a Missing Tooth: A Scoping Review. Bioengineering (Basel) 2021; 8:120. [PMID: 34562942 PMCID: PMC8468762 DOI: 10.3390/bioengineering8090120] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 08/28/2021] [Accepted: 08/30/2021] [Indexed: 12/17/2022] Open
Abstract
INTRODUCTION Tooth autotransplantation is the repositioning of an erupted, partially erupted, or non-erupted autologous tooth from one site to another within the same individual. Several factors influence the success rate of the autotransplant, such as the stage of root development, the morphology of the tooth, the surgical procedure selected, the extraoral time, the shape of the recipient socket, the vascularity of the recipient bed, and the vitality of the cells of the periodontal ligament. The aim of this scoping review was to provide the most up-to-date information and data on the clinical principles of the third-molar autograft and thus provide clinical considerations for its success. MATERIALS AND METHODS This review was conducted based on PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews). The research was conducted by searching for keywords in three databases-PubMed, Scopus and Google Scholar-by two independent reviewers following the PRISMA protocol, from which 599 records were identified. CONCLUSIONS Third-molar autotransplantation is a valid solution to replace missing teeth. The key to the success of this technique is the surgical procedure, which must be as atraumatic as possible to preserve the periodontal ligament of the tooth to be transplanted. The success rate is also linked to the stage of development of the root, with a worse prognosis in the case of a complete root.
Collapse
Affiliation(s)
- Mario Dioguardi
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| | - Cristian Quarta
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| | - Diego Sovereto
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| | - Giuseppe Troiano
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| | - Michele Melillo
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| | - Michele Di Cosola
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| | - Angela Pia Cazzolla
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| | - Luigi Laino
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy;
| | - Lorenzo Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy; (C.Q.); (D.S.); (G.T.); (M.M.); (M.D.C.); (A.P.C.); (L.L.M.)
| |
Collapse
|
8
|
Grisar K, Smeets M, Ezeldeen M, Shaheen E, De Kock L, Politis C, Jacobs R. Survival and success of autotransplanted impacted maxillary canines during short-term follow-up: A prospective case-control study. Orthod Craniofac Res 2020; 24:222-232. [PMID: 32777135 DOI: 10.1111/ocr.12422] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 07/14/2020] [Accepted: 08/05/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES This prospective clinical trial aimed to examine the predictability of maxillary canine transplantation as compared to biological canine eruption. Additional objectives were to examine hard and soft tissue outcomes, including aesthetic outcome compared to outcomes with the contralateral canines. SETTINGS AND SAMPLE POPULATION The sample comprised 17 consecutively transplanted maxillary canines in 17 patients (mean age at surgery, 18 years; range, 11-29 years). Minimal follow-up time was 12 months post-transplantation. Clinical and radiographic parameters were recorded for the transplanted and contralateral canines, showing a natural eruption pattern. MATERIAL AND METHODS The Maxillary Canine Aesthetic Index (MCAI) and the Autotransplanted Maxillary Canine Radiological Index (AMCRI) were scored for all upper canines. Successful transplantation was considered as the absence of pathology during intermittent clinical and radiographic controls and a good-to-excellent outcome compared to the contralateral biological erupted canine, as defined by the MCAI and AMCRI. RESULTS The mean follow-up period was 28 months (±9; range, 12-40 months). The overall survival rate was 100%, and the success rate reached 68% at 1 year post-operatively. Significant predictors of success were the extra-oral time during transplantation, amount of damage to the root surface, quality of surrounding tissues and immediate post-operative oral hygiene. CONCLUSION Standardized measurements demonstrated clinically satisfactory outcomes with maxillary canine autotransplantation compared to outcomes with the contralateral canine during 1-3 years of follow-up. The potential predictors of success identified here should be confirmed with long-term follow-up studies.
Collapse
Affiliation(s)
- Koenraad Grisar
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium.,Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Max Smeets
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium.,Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Mostafa Ezeldeen
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium.,Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Eman Shaheen
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium.,Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Lisa De Kock
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium.,Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Constantinus Politis
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium.,Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Reinhilde Jacobs
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Leuven, Belgium.,Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.,Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden
| |
Collapse
|
9
|
Alternative Methods of Repositioning Impacted Maxillary Canines in the Dental Arch—En Bloc Autotransplantation of a Tooth. Transplant Proc 2020; 52:2236-2238. [DOI: 10.1016/j.transproceed.2019.12.054] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Accepted: 12/06/2019] [Indexed: 11/21/2022]
|
10
|
Curtis JMT, Foster EC, Ananth S, Eckhardt CE, Knox J, Gonzalez Alvarez A, Newton R. Autotransplantation of a surgically removed canine using a customised 3D-printed surgical template. J Orthod 2020; 47:82-90. [DOI: 10.1177/1465312519891738] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Autotransplantation is a treatment option with high reported survival rates to replace failing teeth in the anterior maxilla. This treatment requires a multidisciplinary approach from orthodontists, paediatric dentists, restorative dentists, and oral and maxillofacial surgeons to achieve successful outcomes. Success is dependent on many factors including stage of root development, handling of the periodontal ligament, extra-alveolar time and splinting. This case report presents the novel use of digitally designed and three-dimensional (3D) printed surgical templates to aid intraoperatively and reduce the extra-alveolar time. A preoperative cone-beam computed tomography scan allowed digital planning and construction of surgical templates that replicated the exact root dimensions of impacted maxillary canines. These templates were subsequently 3D printed in resin, sterilised and utilised intraoperatively to aid socket preparation before the surgical autotransplantation.
Collapse
|
11
|
Alsameai AM, Khabaz BA, Alraawi MA, Al Moaleem MM. Replacement of Congenitally Missing Bilateral Maxillary Canines with Dental Implants: A Rare Case Report and Mini Review. Open Dent J 2019. [DOI: 10.2174/1874210601913010371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction:
Maxillary canines play strategic roles in maintaining the normal function and visibility of teeth. However, rare cases of bilateral permanent congenitally missing maxillary canines were occurring. Replacing these missing canines with dental implant prostheses is an optimal treatment plan for aesthetics and functions.
Case Report:
In this case report, we described the replacement of bilateral maxillary canines with osseointegrated implants to support all-ceramic prostheses for a young female patient. This treatment avoids the conventional preparation of adjacent teeth as a part of prosthetic reconstructions. In addition to that, all-ceramic crowns are biocompatible with oral cavity structures.
Conclusion:
The stable short-term result has been achieved with the replacement of the bilateral congenitally missed canines with an implant and cemented all-ceramic crowns, with 3-years cumulative success rate.
Collapse
|
12
|
Abela S, Murtadha L, Bister D, Andiappan M, Kwok J. Survival probability of dental autotransplantation of 366 teeth over 34 years within a hospital setting in the United Kingdom. Eur J Orthod 2019; 41:551-556. [PMID: 31144709 DOI: 10.1093/ejo/cjz012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
INTRODUCTION The purpose of this retrospective study was to evaluate 34 years' experience of autotransplantation of teeth during orthodontic treatment. METHODOLOGY Treatment was completed at Queen Mary's Hospital, Sidcup, Kent, UK, during the period 1969-2003. A total of 366 teeth were transplanted in 314 patients. RESULTS Canines totalled 78 per cent of all autotransplanted teeth; mean age of patient was 19.4 years. Survival probability for the first 5 years post-autotransplantation was 95 per cent, 94 per cent for the subsequent 5 years, and 88 per cent after 15 years. The maximum observation period was 34 years, the median was 2.0 years, and the mean was 3.51 (standard deviation = 3.68) years. Of the observed teeth, 10 failed and these were lost due to unsuccessful periodontal ligament regeneration and persistent mobility grade III (or greater). Apical pathology was observed in 16 per cent of all autotransplanted teeth. In 79 per cent of this subgroup, apical pathology was evident in the first 3 years post-operatively. Seventy per cent of all external resorption also occurred within the first 3 years. Internal resorption was rare but its occurrence was mostly observed between the second and sixth year post-transplantation. A minority of autotransplanted teeth [14 per cent (n = 51)] needed root canal therapy, and this was completed within the first 6 months post-transplantation. CONCLUSIONS Autotransplantation can be a justified procedure with good survival probability. It can be considered an alternative to other treatments, such as prosthodontic replacement of teeth.
Collapse
Affiliation(s)
- Stefan Abela
- Department of Orthodontics, Guy's and St Thomas NHS Foundation Trust, London, UK
| | - Linda Murtadha
- Department of Oral Surgery, Guy's and St Thomas NHS Foundation Trust, London, UK
| | - Dirk Bister
- Department of Orthodontics, Guy's and St Thomas NHS Foundation Trust, London, UK
| | - Manoharan Andiappan
- Department of Biostatistician, Centre for Host-Microbiome Interactions, Faculty of Dentistry, Oral and Craniofacial Sciences, Kings College London, London, UK
| | - Jerry Kwok
- Department of Oral Surgery, Guy's and St Thomas NHS Foundation Trust, London, UK
| |
Collapse
|
13
|
Grisar K, Chaabouni D, Romero LPG, Vandendriessche T, Politis C, Jacobs R. Autogenous transalveolar transplantation of maxillary canines: a systematic review and meta-analysis. Eur J Orthod 2019; 40:608-616. [PMID: 29860316 PMCID: PMC6265659 DOI: 10.1093/ejo/cjy026] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Background and objectives The objective was to systematically review transalveolar transplantation of maxillary canines and the long-term outcome for an average follow-up period of 2 years or more. Data collection and analysis A systematic review of the currently available literature until December 2017 was conducted, using Medline, Cochrane Central, Web off Science, and PubMed. Articles were screened for 1. indications, 2. contra-indications, 3. surgical planning, 4. surgical technique, 5. associated risk factors, and 6. long-term outcome for transalveolar transplantation of maxillary canines with the following outcome measures: bone-related outcomes, tooth-related outcomes, soft tissue-related outcomes, and aesthetic outcome measures. Descriptive statistics, as well as a quality assessment of included articles, were performed. Following study retrieval and selection, relevant data was extracted and the risk of bias was assessed using the Methodological index for non-randomized studies (MINORS). Results Twelve articles were included in this review. These studies included outcome data for 783 autotransplanted maxillary canines, with long-term studies indicating a clinically acceptable overall outcome. Limitations Since the lack of randomized controlled trials considering this topic, the quality of the evidence in the present review is considered low. However, impacted maxillary canines are a rare anomaly and different aspects, such as position of the impacted canine, patient’s age and patient’s demands, and expectancies must be taken into account, it is practically impossible to randomize treatment. Conclusions There is sufficient evidence to justify the transalveolar transplantation of maxillary canines as a legitimate treatment technique for impacted maxillary canines deemed difficult to treat with surgical exposure and subsequent orthodontic alignment. Long-term studies have shown that a good overall outcome is to be expected. There is no clear agreement in the literature on the indications and contra-indications for transalveolar transplantation of maxillary canines. Implication of key findings It is highly desirable that further research on this issue be undertaken, high-quality observational studies are recommended. Registration PROSPERO (CRD42017056348)
Collapse
Affiliation(s)
- Koenraad Grisar
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium.,Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium
| | - Dorra Chaabouni
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium.,Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium.,Department of Radiology, University Dental Clinic, Monastir, Tunisia
| | - Lesly Paola Gaitan Romero
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium.,Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium
| | | | - Constantinus Politis
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium.,Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium
| | - Reinhilde Jacobs
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium.,Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium.,Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden
| |
Collapse
|
14
|
Grisar K, Nys M, The V, Vrielinck L, Schepers S, Jacobs R, Politis C. Long-term outcome of autogenously transplanted maxillary canines. Clin Exp Dent Res 2019; 5:67-75. [PMID: 30847235 PMCID: PMC6392819 DOI: 10.1002/cre2.159] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 12/04/2018] [Accepted: 12/05/2018] [Indexed: 11/09/2022] Open
Abstract
The aim of this study was to determine the long-term outcome of autotransplanted maxillary canines and to investigate the influencing parameters. Seventy-one patients (84 transplanted canines) volunteered to participate in this study. The mean follow-up time was 21 years. In case of tooth survival and when patients were found willing for recall, teeth were investigated clinically and radiographically. Transplanted teeth were compared to the contralateral canine and scored with an aesthetic and radiographic index. The survival rate was 67.9%, considering that 27 transplanted teeth were lost before examination. The mean survival time was 15.8 years. Maxillary canine autotransplantation may have a successful outcome up to 21 years after transplantation requiring minimal patient compliance and low financial costs. The survival rate can be considered favorable realizing that autotransplantation is a treatment option in a selected group of cases.
Collapse
Affiliation(s)
- Koenraad Grisar
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University of Leuven and Department of Oral & Maxillofacial SurgeryUniversity Hospitals LeuvenLeuvenBelgium
| | - Margaux Nys
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University of Leuven and Department of Oral & Maxillofacial SurgeryUniversity Hospitals LeuvenLeuvenBelgium
| | - Vincent The
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University of Leuven and Department of Oral & Maxillofacial SurgeryUniversity Hospitals LeuvenLeuvenBelgium
| | - Luc Vrielinck
- Department of Oral and Maxillofacial SurgerySt. John's HospitalGenkBelgium
| | - Serge Schepers
- Department of Oral and Maxillofacial SurgerySt. John's HospitalGenkBelgium
| | - Reinhilde Jacobs
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University of Leuven and Department of Oral & Maxillofacial SurgeryUniversity Hospitals LeuvenLeuvenBelgium
- Department of Dental MedicineKarolinska InstitutetHuddingeSweden
| | - Constantinus Politis
- OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University of Leuven and Department of Oral & Maxillofacial SurgeryUniversity Hospitals LeuvenLeuvenBelgium
| |
Collapse
|
15
|
Grisar K, Vanpoecke J, Raes M, Albdour EA, Willems G, Politis C, Jacobs R. Development and validation of the autotransplanted maxillary canine radiological index. Clin Exp Dent Res 2018; 4:167-173. [PMID: 30386638 PMCID: PMC6203832 DOI: 10.1002/cre2.125] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 07/06/2018] [Accepted: 07/09/2018] [Indexed: 11/11/2022] Open
Abstract
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.
Collapse
Affiliation(s)
- Koenraad Grisar
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Jasper Vanpoecke
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Margot Raes
- Department of Oral Health SciencesUniversity of Leuven, University Hospitals LeuvenBelgium
| | - Emad Ali Albdour
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Guy Willems
- Department of Oral Health SciencesUniversity of Leuven, University Hospitals LeuvenBelgium
| | - Constantinus Politis
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
| | - Reinhilde Jacobs
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Department of Oral and Maxillofacial SurgeryUniversity Hospitals LeuvenBelgium
- Department of Dental MedicineKarolinska InstitutetSweden
| |
Collapse
|
16
|
Schubert M, Proff P, Kirschneck C. Improved eruption path quantification and treatment time prognosis in alignment of impacted maxillary canines using CBCT imaging. Eur J Orthod 2018; 40:597-607. [DOI: 10.1093/ejo/cjy028] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
- Michael Schubert
- Department of Orthodontics, University Medical Centre of Regensburg, Germany
| | - Peter Proff
- Department of Orthodontics, University Medical Centre of Regensburg, Germany
| | | |
Collapse
|
17
|
Murtadha L, Kwok J. Do Autotransplanted Teeth Require Elective Root Canal Therapy? A Long-Term Follow-Up Case Series. J Oral Maxillofac Surg 2017; 75:1817-1826. [DOI: 10.1016/j.joms.2017.03.049] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2016] [Revised: 03/27/2017] [Accepted: 03/28/2017] [Indexed: 11/25/2022]
|
18
|
Yamamoto K, Osamu Y, Kakura K, Yamamoto K, Kido H. Third molar transplantation combined with an osteotome sinus lift - two case reports. Clin Case Rep 2017; 5:1289-1296. [PMID: 28781844 PMCID: PMC5538047 DOI: 10.1002/ccr3.1042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 04/17/2017] [Accepted: 04/18/2017] [Indexed: 11/16/2022] Open
Abstract
We report here on our application of the socket lift technique to create a transplant socket for the transplanted maxillary molar. These outcomes suggest that this technique is likely to be effective for tooth transplantation when the maxillary sinus bottom is close to the alveolar crest.
Collapse
Affiliation(s)
- Katsuki Yamamoto
- Section of Oral Implantology Department of Oral Rehabilitation Fukuoka Dental College Fukuoka Japan
| | - Yoshinaga Osamu
- Section of Oral Implantology Department of Oral Rehabilitation Fukuoka Dental College Fukuoka Japan
| | - Kae Kakura
- Section of Oral Implantology Department of Oral Rehabilitation Fukuoka Dental College Fukuoka Japan
| | - Kazuko Yamamoto
- Section of Oral Implantology Department of Oral Rehabilitation Fukuoka Dental College Fukuoka Japan
| | - Hirofumi Kido
- Section of Oral Implantology Department of Oral Rehabilitation Fukuoka Dental College Fukuoka Japan
| |
Collapse
|
19
|
Hwang LA, Kuo CY, Yang JW, Chiang WF. Autotransplantation of Odontoma-Associated Impacted Teeth-A Treatment Strategy for Satisfying Immediate Esthetic Demands: A Case Report. J Oral Maxillofac Surg 2017; 75:1827-1832. [PMID: 28460214 DOI: 10.1016/j.joms.2017.03.052] [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: 10/11/2016] [Revised: 03/01/2017] [Accepted: 03/29/2017] [Indexed: 11/19/2022]
Abstract
Compound odontomas are common odontogenic tumors associated with permanent tooth impaction in the premaxilla. This report describes the case of a 14-year-old girl with an odontoma-associated impaction over the premaxilla that was treated using autotransplantation to satisfy an immediate esthetic demand. At postoperative follow-up conducted in the 14th month, a satisfactory cosmetic appearance with a healthy periodontal status was observed. In addition, the authors discuss the possible complications of autotransplantation and different treatment strategies for odontoma-associated impaction and for correcting bone defects in this case report. Autotransplantation for treating odontoma-associated impaction can be an alternative solution for satisfying an immediate cosmetic demand and providing a favorable outcome.
Collapse
Affiliation(s)
- Lisa Alice Hwang
- Resident, Department of Oral and Maxillofacial Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
| | - Chih-Yin Kuo
- Visiting Staff, Department of Dentistry, Chi-Mei Medical Center, Liouying, Taiwan
| | - Jung-Wu Yang
- Chief, Department of Oral and Maxillofacial Surgery, Sin-Lau Hospital, Tainan, Taiwan
| | - Wei-Fan Chiang
- Chief, Department of Oral and Maxillofacial Surgery, Chi-Mei Medical Center, Liouying; Associate Professor, School of Dentistry, National Yang-Ming University, Taipei, Taiwan.
| |
Collapse
|
20
|
Ahmed Asif J, Yusuf Noorani T, Khursheed Alam M. Tooth Auto-transplantation: An Alternative Treatment. THE BULLETIN OF TOKYO DENTAL COLLEGE 2017; 58:41-48. [PMID: 28381733 DOI: 10.2209/tdcpublication.2016-0011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Auto-transplantation is the repositioning of an autogenously erupted, partially erupted, or unerupted tooth from one site to another in the same individual. The purpose of this case report is to describe the auto-transplantation of the mandibular third molars as an alternative means of replacing second molars requiring extraction. An orthopantomogram revealed horizontal impaction of teeth #37 and 47 and mesio-angular impaction of teeth #38 and 48. Cone beam computed tomography revealed that the roots of #37 and 47 were in close proximity to the inferior alveolar canal bilaterally. As atraumatic and complete removal of these two teeth was not possible, #38 and 48 were chosen as the donor teeth instead. The procedure was carried out under general anesthesia. Teeth #38 and 48 were extracted atraumatically; teeth #37 and 47 were pulled out by sectioning and transplant sites prepared. Teeth #38 and 48 were transplanted to the sites vacated by teeth #37 and 47, respectively. Endodontic treatment of teeth #38 and 48 was completed within 1 month following transplantation. Both clinical and radiographic outcomes were considered satisfactory at 1 year postoperatively. Bone healing was observed around the roots of teeth #38 and 48. In conclusion, although auto-transplantation is not very common in general dental practice, we believe that it offers a clinically and economically viable alternative to other complicated prosthetic and dental implant treatments.
Collapse
Affiliation(s)
- Jawaad Ahmed Asif
- Oral and Maxillofacial Surgery Unit, School of Dental Sciences, Universiti Sains Malaysia
| | | | | |
Collapse
|
21
|
Eslami E, Barkhordar H, Abramovitch K, Kim J, Masoud MI. Cone-beam computed tomography vs conventional radiography in visualization of maxillary impacted-canine localization: A systematic review of comparative studies. Am J Orthod Dentofacial Orthop 2017; 151:248-258. [DOI: 10.1016/j.ajodo.2016.07.018] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2015] [Revised: 07/01/2016] [Accepted: 07/01/2016] [Indexed: 11/25/2022]
|
22
|
Yu H, Qiu L, Wang X. Long-term follow-up of autogenous canine transplants with application of guided bone regeneration. Int J Oral Maxillofac Surg 2014; 43:355-61. [DOI: 10.1016/j.ijom.2013.08.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2012] [Revised: 05/21/2013] [Accepted: 08/30/2013] [Indexed: 10/26/2022]
|
23
|
Chung WC, Tu YK, Lin YH, Lu HK. Outcomes of autotransplanted teeth with complete root formation: a systematic review and meta-analysis. J Clin Periodontol 2014; 41:412-23. [DOI: 10.1111/jcpe.12228] [Citation(s) in RCA: 90] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Wen-Chen Chung
- Clinical Periodontics; School of Dentistry; College of Oral Medicine; Taipei Medical University; Taipei Taiwan
- Clinical Periodontics of Dental Department; Taipei Medical University Hospital; Taipei Taiwan
| | - Yu-Kang Tu
- Institute of Epidemiology and Preventive Medicine; College of Public Health; National Taiwan University; Taipei Taiwan
| | - Yi-Hung Lin
- Clinical Periodontics; School of Dentistry; College of Oral Medicine; Taipei Medical University; Taipei Taiwan
- Division of Periodontics; Department of Dentistry; Changhua Christian Hospital; Changhua Taiwan
| | - Hsein-Kun Lu
- Clinical Periodontics; School of Dentistry; College of Oral Medicine; Taipei Medical University; Taipei Taiwan
- Clinical Periodontics of Dental Department; Taipei Medical University Hospital; Taipei Taiwan
| |
Collapse
|
24
|
Huth KC, Nazet M, Paschos E, Linsenmann R, Hickel R, Nolte D. Autotransplantation and surgical uprighting of impacted or retained teeth: A retrospective clinical study and evaluation of patient satisfaction. Acta Odontol Scand 2013; 71:1538-46. [PMID: 23638808 DOI: 10.3109/00016357.2013.775667] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES This retrospective clinical study aimed to determine the success rate of autotransplanted impacted or retained teeth along with a patient satisfaction survey and to analyze the influence of relevant clinical and radiographic parameters. SUBJECTS AND METHODS Fifty-seven teeth (37 canines, 10 molars, seven premolars, three incisors) in 45 patients (median 15 years) were evaluated over a mean of 1.6 years. The success criteria were pocket probing depth ≤3.5 mm, mobility grade ≤ II, Periotest ≤30 and complete alveolar bone healing. The influencing parameters were oral hygiene, smoking, periodontal screening index, occlusal/proximal contacts, horizontal position, dental age, pulp obliteration and degree of displacement. Furthermore, bone height was measured. RESULTS The overall success rate was 74%, along with a high patient satisfaction. The survival rate was 96% after a mean follow-up of 1.6 years. The favorable factors were proper oral hygiene, non-smoking, good general periodontal condition, proximal contacts and pulp obliteration. An increase in or maintenance of bone level was found in 96%. CONCLUSIONS Autotransplantation of impacted or retained teeth is an appropriate treatment, if orthodontic alignment has failed, especially in growing patients.
Collapse
|
25
|
Plakwicz P, Wojtowicz A, Czochrowska EM. Survival and success rates of autotransplanted premolars: A prospective study of the protocol for developing teeth. Am J Orthod Dentofacial Orthop 2013; 144:229-37. [DOI: 10.1016/j.ajodo.2013.03.019] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2012] [Revised: 03/01/2013] [Accepted: 03/01/2013] [Indexed: 11/28/2022]
|
26
|
Alqerban A, Hedesiu M, Baciut M, Nackaerts O, Jacobs R, Fieuws S, Willems G. Pre-surgical treatment planning of maxillary canine impactions using panoramic vs cone beam CT imaging. Dentomaxillofac Radiol 2013; 42:20130157. [PMID: 23906975 DOI: 10.1259/dmfr.20130157] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES The aim of this prospective study was to compare the impact of using two-dimensional (2D) panoramic radiographs and three-dimensional (3D) cone beam CT for the surgical treatment planning of impacted maxillary canines. METHODS This study consisted of 32 subjects (19 females, 13 males) with a mean age of 25 years, referred for surgical intervention of 39 maxillary impacted canines. Initial 2D panoramic radiography was available, and 3D cone beam CT imaging was obtained upon clinical indication. Both 2D and 3D pre-operative radiographic diagnostic sets were subsequently analysed by six observers. Perioperative evaluations were conducted by the treating surgeon. McNemar tests, hierarchical logistic regression and linear mixed models were used to explore the differences in evaluations between imaging modalities. RESULTS Significantly higher confidence levels were observed for 3D image-based treatment plans than for 2D image-based plans (p < 0.001). The evaluations of canine crown position, contact relationship and lateral incisor root resorption were significantly different between the 2D and 3D images. By contrast, pre- and perioperative evaluations were not significantly different between the two image modalities. CONCLUSIONS Surgical treatment planning of impacted maxillary canines was not significantly different between panoramic and cone beam CT images.
Collapse
Affiliation(s)
- A Alqerban
- Department of Oral Health Sciences, KU Leuven & Dentistry, University Hospitals Leuven, Leuven, Belgium
| | | | | | | | | | | | | | | |
Collapse
|
27
|
Park YS, Jung MH, Shon WJ. Autotransplantion of a displaced mandibular second premolar to its normal position. Am J Orthod Dentofacial Orthop 2013; 143:274-80. [PMID: 23374935 DOI: 10.1016/j.ajodo.2011.11.025] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2011] [Revised: 11/01/2011] [Accepted: 11/01/2011] [Indexed: 01/17/2023]
Abstract
The patient was a 13-year-old Korean girl who had a displaced mandibular second premolar. She was reluctant to undergo a lengthy orthodontic treatment and opted instead for transplantation of the premolar to its usual site. On the basis of computed tomography, a replica tooth model was manufactured to shorten the extraoral time, and a root canal treatment was performed because root formation was complete. No negative signs or symptoms were found during a 3-year follow up. Autotransplantation for this patient obviated the need for orthodontic traction and prosthetic therapy.
Collapse
Affiliation(s)
- Young-Seok Park
- Department of Oral Anatomy and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
| | | | | |
Collapse
|
28
|
Park YS, Baek SH, Lee WC, Kum KY, Shon WJ. Autotransplantation with Simultaneous Sinus Floor Elevation. J Endod 2012; 38:121-4. [DOI: 10.1016/j.joen.2011.10.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Revised: 10/05/2011] [Accepted: 10/16/2011] [Indexed: 02/03/2023]
|