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Adamska P, Pylińska-Dąbrowska D, Stasiak M, Sobczak-Zagalska H, Jusyk A, Zedler A, Studniarek M. Tooth Autotransplantation, Autogenous Dentin Graft, and Growth Factors Application: A Method for Preserving the Alveolar Ridge in Cases of Severe Infraocclusion-A Case Report and Literature Review. J Clin Med 2024; 13:3902. [PMID: 38999468 PMCID: PMC11242798 DOI: 10.3390/jcm13133902] [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: 05/27/2024] [Revised: 06/22/2024] [Accepted: 07/01/2024] [Indexed: 07/14/2024] Open
Abstract
Background: Tooth infraocclusion is a process in which a completely or partially erupted tooth gradually moves away from the occlusal plane. Submerged teeth can lead to serious complications. Treating teeth with infraocclusion is very challenging. One of the procedures allowing for the replacement of a missing tooth is autotransplantation. The aim of this paper is to review the literature on teeth autotransplantation, supported by a case report involving the autotransplantation of a third mandibular molar into the site of an extracted infraoccluded first mandibular molar, as well as the utilization of advanced platelet-rich fibrin (A-PRF) alongside autogenous dentin grafts for bone tissue regeneration. Methods: A severely infraoccluded first permanent right mandibular molar was extracted and then ground to obtain the dentin graft. A-PRF clots (collected from the patient's peripheral blood) were added to the autogenous dentin graft, to create the A-PRF membrane. An atraumatic extraction of the lower left third molar was performed and then it was transplanted into the socket of tooth no. 46. Immediately after transplantation, tooth no. 38 was stabilized with orthodontic bracket splints for 3 months. The patient attended regular follow-up visits within 12 months. Results: After one year, the patient did not report any pain. In the clinical examination, the tooth and surrounding tissues did not show any signs of infection. However, radiographically, cervical inflammatory resorption, unchanged pulp canal dimensions, absent root growth, periapical radiolucency, and lack of apical and marginal healing were observed. Reconstruction of the bone defect was obtained and the alveolar ridge of the mandible was preserved. Due to poor stability of the tooth and severe resorption, the tooth needed to be extracted. Conclusions: This study is designed to critically evaluate the efficacy of autotransplantation, the application of growth factors, and the integration of autogenous dentin grafts in remedying dental deficiencies resulting from reinclusion. We aim to point out the possible causes of treatment failure.
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Affiliation(s)
- Paulina Adamska
- Division of Oral Surgery, Faculty of Medicine, Medical University of Gdańsk, 7 Dębinki Street, 80-210 Gdańsk, Poland
| | - Dorota Pylińska-Dąbrowska
- Department of Dental Prosthetics, Faculty of Medicine, Medical University of Gdańsk, 18 Orzeszkowej Street, 80-204 Gdańsk, Poland
| | - Marcin Stasiak
- Division of Orthodontics, Faculty of Medicine, Medical University of Gdańsk, 42c Aleja Zwycięstwa, 80-210 Gdańsk, Poland
| | - Hanna Sobczak-Zagalska
- Department of Pediatric Dentistry, Faculty of Medicine, Medical University of Gdańsk, 18 Orzeszkowej Street, 80-204 Gdańsk, Poland
| | - Antoni Jusyk
- University Dental Center, Medical University of Gdańsk, 1a Dębowa Street, 80-204 Gdańsk, Poland
| | - Adam Zedler
- Division of Oral Surgery, Faculty of Medicine, Medical University of Gdańsk, 7 Dębinki Street, 80-210 Gdańsk, Poland
| | - Michał Studniarek
- Department of Radiology, Faculty of Medicine, Medical University of Gdańsk, 17 Smoluchowskiego Street, 80-210 Gdańsk, Poland
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Dokova AF, Lee JY, Mason M, Moretti A, Reside G, Christensen J. Advancements in tooth autotransplantation. J Am Dent Assoc 2024; 155:475-483. [PMID: 38530692 DOI: 10.1016/j.adaj.2024.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Revised: 12/30/2023] [Accepted: 01/13/2024] [Indexed: 03/28/2024]
Abstract
BACKGROUND Tooth autotransplantation (AT) involves the surgical relocation of a tooth from 1 site in the mouth to another site within the same patient. This approach is a good option in a growing patient when dental implant placements or fixed bridges are not suitable and when preserving natural teeth is a priority. Tooth AT is a complex procedure that requires specialized skills from a multidisciplinary team with careful patient and tooth selection and treatment planning. TYPES OF STUDIES REVIEWED The authors provided a review of the state of knowledge and research on tooth AT and presented a case scenario and barriers to adoption, with a focus on the United States. RESULTS Success rates for tooth AT can vary depending on several factors, including the patient's overall health, specific tooth involved, skill of the dental surgeon, and postoperative care provided. Long-term outcomes of autotransplanted teeth have been cited in the literature with impressive longitudinal follow-up spanning up to 26 years. Results of several systematic reviews showed survival rates from 75% through 98%. CONCLUSIONS AND PRACTICAL IMPLICATIONS Adoption of tooth AT has grown over the years, owing to advancements in dental techniques, improved patient outcomes, and increased awareness among both dentists and patients. Increasing awareness and availability of tooth AT to replace missing teeth can provide a natural and functional alternative to traditional prosthetic options. Tooth AT helps preserve the alveolar bone in growing patients and can offer excellent esthetic and functional outcomes.
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Budak L, Levin L. Prevention of orofacial trauma in sports and beyond-What can be done further? Dent Traumatol 2024; 40:239-242. [PMID: 38738536 DOI: 10.1111/edt.12966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Affiliation(s)
- Lea Budak
- University of Zagreb, Zagreb, Croatia
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Restrepo-Restrepo FA, Uribe-Jaramillo DF, Villa-Machado PA, Mejía-Cardona JL, Abella-Sans F, Morales-Quezada RK, Tobón-Arroyave SI. Retrospective Follow-up Assessment of Risk Variables Influencing the Outcome of Autologous Tooth Transplantation. J Endod 2024; 50:747-757. [PMID: 38442852 DOI: 10.1016/j.joen.2024.02.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 02/21/2024] [Accepted: 02/24/2024] [Indexed: 03/07/2024]
Abstract
INTRODUCTION This retrospective study aimed to identify which patient-, donor tooth-, recipient site-, and surgical procedure-related variables may influence the outcome of tooth autotransplantation. METHODS The sample included 128 autotransplants performed in 122 patients. Single-visit clinical/imaging examinations were used to define the outcome as successful, survival, or failure. The association of potential indicators with the survival or failure categories was analyzed individually and adjusted for confounders through multivariate logistic regression models. RESULTS After a follow-up period of 1 to 30.11 years, success was achieved in 71.8% of autotransplants, whereas the survival and failure groups had rates of 14.1% each, and the grouped success/survival rate reached 85.9%. An extraoral time >15 minutes and difficult handling/placement were strong/independent risk covariates for survival and failure categories (odds ratio >1, P < .05). Additionally, unerupted/partially erupted status of the donor tooth was a significant indicator for survival, whereas deficient bone level at the recipient site, surgical extraction, poor initial stability, and lack of prophylactic antibiotics were independently linked to failure (odds ratio > 1, P < .05). The root morphology and socket status acted as modifiers of the effect of the recipient site location on the survival group (P > .05). CONCLUSION Based on the results of this study, unerupted/partially erupted status of the donor tooth, surgical extraction, total extraoral time >15 minutes, deficient recipient's bone level, difficult handling/placement of the autotransplant, poor initial stability, and lack of prophylactic antibiotics during the surgical procedure must be considered with caution when performing autotransplantation because of their deleterious influence on the outcome.
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Affiliation(s)
| | - Diego F Uribe-Jaramillo
- Graduate Oral and Maxillofacial Surgery Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia
| | - Paula A Villa-Machado
- Graduate Endodontics Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia
| | - José L Mejía-Cardona
- Graduate Endodontics Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia
| | - Francesc Abella-Sans
- Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Reyna K Morales-Quezada
- Graduate Endodontics Program, Multidisciplinary Institute of Dental Specialties, Zapopan, México
| | - Sergio I Tobón-Arroyave
- Graduate Oral and Maxillofacial Surgery Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia.
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Haneda Y, Murayama T, Nikawa H, Shimoe S, Kaku M. Wisdom Tooth Autotransplantation for the Missing Maxillary Central Incisors Using a 3D-Printed Replica: A Case Report. Cureus 2024; 16:e61327. [PMID: 38947626 PMCID: PMC11213693 DOI: 10.7759/cureus.61327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2024] [Indexed: 07/02/2024] Open
Abstract
In this case report, we describe a 19-year-old man who underwent an autotransplantation of a lower third molar into the extracted region of his upper central incisors. Due to trauma, the patient's upper right and left central incisors had been extracted. He visited our clinic and requested to perform autotransplantation of his own teeth into the upper central incisor part because he wanted to use his natural teeth. So, we decided to extract his lower right third molar and autotransplant it into the extraction part of the upper central incisors. Immediately after extraction of the lower right third molar, the tooth was autotransplanted into the upper anterior region using a 3D-printed resin replica of the donor tooth and artificial sockets of the recipient site. Then, the root canal treatment was performed, and a temporary crown was set. Next, orthodontic treatment was done to flatten the curve of Spee. After completing the orthodontic treatment, a final prosthodontic restoration was set on the autotransplanted tooth. Four years later, the autotransplanted tooth remained stable with a healthy periodontium. This case demonstrates that if a patient has a request to use their natural teeth, autotransplantation of a wisdom tooth into the anterior region can be a useful method to replace the missing teeth.
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Affiliation(s)
| | - Takeshi Murayama
- Medical System Engineering, Division of Oral Health Sciences, Hiroshima University, Graduate School of Biomedical Sciences, Hiroshima, JPN
| | - Hiroki Nikawa
- Oral Biology and Engineering, Division of Oral Health Sciences, Hiroshima University, Graduate School of Biomedical Sciences, Hiroshima, JPN
| | - Saiji Shimoe
- Anatomy and Functional Restorations, Division of Oral Health Sciences, Hiroshima University, Graduate School of Biomedical Sciences, Hiroshima, JPN
| | - Masato Kaku
- Anatomy and Functional Restorations, Division of Oral Health Sciences, Hiroshima University, Graduate School of Biomedical Sciences, Hiroshima, JPN
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Budak L, Levin L. Dental Traumatology research and education-Foundations for a better tomorrow. Dent Traumatol 2024; 40:133-136. [PMID: 38488490 DOI: 10.1111/edt.12943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Affiliation(s)
- Lea Budak
- University of Zagreb, Zagreb, Croatia
| | - Liran Levin
- Faculty of Medicine and Dentistry, University of Alberta, 7-020K Katz Group Centre for Pharmacy & Health Research, Edmonton, Alberta, Canada
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Budak L, Sarao SK, Levin L. Fragment rehydration, splinting, and autotransplantation: A journey to better treatment for traumatized teeth. Dent Traumatol 2024; 40:1-4. [PMID: 38213107 DOI: 10.1111/edt.12919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
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Gresnigt MMM, Jonker JA, van der Made SAM. The cantilever contact-point resin bonded bridge; adhesion 2.0. J ESTHET RESTOR DENT 2024; 36:37-46. [PMID: 38084818 DOI: 10.1111/jerd.13179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Revised: 11/26/2023] [Accepted: 11/27/2023] [Indexed: 01/23/2024]
Abstract
AIM When young patients are congenitally missing anterior teeth, different treatment modalities can be used to complement the dental arch. This article proposes a new treatment modality for the replacement of anterior teeth, the cantilever contact-point resin bonded bridge (CCP-RBB). MATERIALS AND METHODS In this proof of principle study, CCP-RBB's delivered by one operator were clinically assessed. Patients who were missing maxillary incisors and had suitable intra-oral conditions for a contact-point cantilever RBB were included. Three cases are presented to describe all adhesive steps. This proof of principle clinical study is presented with up to 60 months follow-up of the cantilever contact resin bonded bridges. RESULTS A total of 19 CCP-RBB's were evaluated after a mean period of 29.8 months. None of the restorations exhibited failure, carious lesions or fractures during the follow-up periods, demonstrating an absence of restoration debonding or the need for repair. CONCLUSION The new cantilever contact-point resin bonded bridge exhibited an excellent treatment modality without failure or debonding up to 5 years. More and extended duration in vivo studies are needed to evaluate this new treatment modality. CLINICAL SIGNIFICANCE In this proof of principle the new cantilever contact-point resin bonded bridge obtained excellent results up to 5 years of clinical follow-up.
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Affiliation(s)
- Marco M M Gresnigt
- Department of Restorative Dentistry and Biomaterials, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
- Department of Special Dental Care, Martini Hospital, Groningen, the Netherlands
| | - Joyce A Jonker
- Department of Restorative Dentistry and Biomaterials, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
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