Replantation and transplantation of teeth with incompleted root formation. Review of literature and presentation of clinical cases (original) (raw)
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Autogenous transplantation of teeth with complete root formation: two case reports
International Endodontic Journal, 2006
Aim Autotransplantation is an alternative treatment for replacing lost teeth when suitable donor teeth are available. This paper presents two cases of successful autogenous tooth transplantation. Summary Two third molars with complete root development were autogenously transplanted from their original sockets into new recipient sites on the same side of the mouth, one in the maxilla and one in the mandible. In both cases, the third molars were transplanted immediately after the first molar extractions. To provide better adaptation of the donor teeth, the recipient alveolar sites were remodelled using surgical burs. Semirigid splints were maintained for 45 and 15 days, respectively. Root canal treatment commenced one a week after transplantation and the canals were medicated with a calcium hydroxide paste before they were filled. Clinical and radiographic findings after 5 and 3 years of follow-up, respectively, are discussed in relation to the literature. Key learning points • Autogenous transplantation of teeth with complete root formation may be considered as a viable treatment option to conventional prosthetic and implant rehabilitation for both therapeutic and economic reasons. • Careful surgical and endodontic procedure, together with careful case selection may lead to satisfactory aesthetic and functional outcomes.
Autotransplantation of teeth with incomplete root formation: a systematic review and meta-analysis
Objectives The objective of this systematic review and meta-analysis was to determine the rates of survival and success and the complications related to autotransplantation of teeth with incomplete root formation. Additionally, we attempted to identify the prognostic factors that influence the outcome of tooth autotransplantation. Materials and methods A literature search for all data published until July 2016 was conducted. Inclusion and exclusion criteria were specified. Risk of bias was assessed with the Newcastle checklist. Meta-analysis was performed by using the DerSimonian-Laird random effect model. The 1-, 5-, and 10-year survival rates and the weighted estimated survival, success, and complication rates per year were calculated. Results Thirty-two studies were included for analysis. The survival rates reported after 1, 5, and 10 years were 97.4, 97.8, and 96.3%, respectively. The annual weighted estimated survival rate (98.2%), success rate (96.6%), and complication rates in terms of ankylosis (2.0%), root resorption (2.9%), and pulp necrosis (3.3%) were analyzed. No firm conclusions could be drawn with respect to the prognostic factors due to insufficient evidence of high quality. Conclusion The survival and success rates of autotransplantation of teeth with incomplete root formation were high (> 95%), with a low rate of complications (< 5%). Clinical relevance Current evidence from the literature on autotransplantation of teeth with incomplete root formation shows favorable survival and success rates and low complication rates, indicating it is a reliable treatment option.
Autotransplantation of teeth with incomplete root formation: systematic review and meta-analysis
Clinical Oral Investigations, 2022
Objectives The objective of this systematic review and meta-analysis was to determine the rates of survival and success and the complications related to autotransplantation of teeth with incomplete root formation. Additionally, we attempted to identify the prognostic factors that influence the outcome of tooth autotransplantation. Materials and methods A literature search for all data published until July 2016 was conducted. Inclusion and exclusion criteria were specified. Risk of bias was assessed with the Newcastle checklist. Meta-analysis was performed by using the DerSimonian-Laird random effect model. The 1-, 5-, and 10-year survival rates and the weighted estimated survival, success, and complication rates per year were calculated. Results Thirty-two studies were included for analysis. The survival rates reported after 1, 5, and 10 years were 97.4, 97.8, and 96.3%, respectively. The annual weighted estimated survival rate (98.2%), success rate (96.6%), and complication rates in terms of ankylosis (2.0%), root resorption (2.9%), and pulp necrosis (3.3%) were analyzed. No firm conclusions could be drawn with respect to the prognostic factors due to insufficient evidence of high quality. Conclusion The survival and success rates of autotransplantation of teeth with incomplete root formation were high (> 95%), with a low rate of complications (< 5%). Clinical relevance Current evidence from the literature on autotransplantation of teeth with incomplete root formation shows favorable survival and success rates and low complication rates, indicating it is a reliable treatment option.
Endodontic Treatment After Autotransplantation of Tooth with Complete Root Formation
Research & Reviews: Journal of Dental Sciences, 2016
The dental autotransplantation consists in the surgical transposition of a tooth from its original site to another, replacing a compromised tooth, in the same individual. It is a viable treatment option for tooth replacement when a suitable donor tooth is available. Autotransplantation should be considered as one of the most biologic techniques for replacing a missing tooth with minimal cost and can be carried out even after complete root formation in the donor tooth. This case report described significant vertical bone growth after autotransplantation of a mature third molar. In the follow-up period averaged 24 months, radiographic and clinical observations indicated a satisfactory outcome as follows: absence of progressive root resorption, bone regeneration and the emergence of lamina dura around the transplant were obvious in the postoperative radiograph. Clinically, the transplanted tooth functioned normally without mobility or discomfort.
Journal of Medical and Dental Practice, 2021
In the recent years, there is a common belief that regenerative endodontics can provide high success rate in the treatment of permanent teeth with incomplete root development and in general to improve their long-term prognosis. New protocols are constantly being explored to improve the chances of a successful healing process. This case report demonstrates the effectiveness of the protocol in the treatment of fractured maxillary central incisors with incomplete root development and necrotic pulp and previous treatment of the pulp with devitalizing agent. It uses 2.5% hypochlorite, EDTA and saline for irrigation. The most distinctive feature is the use of minimal mechanical preparation of the channel walls with XP-Endo Finisher for 1 min. Clinical follow-up at 24 months showed fully functional asymptomatic teeth with completely formed root walls and closure of the apex.
Autotransplantation of A Third Molar with Complete Root Development: A Case Report
2012
Autogenous transplantation is a feasible, fast and economical option for the treatment of missing teeth when a suitable donor tooth is available. This paper presents successful autotransplantation of a hemisected mature mandibular third molar (tooth #48) with complete root development used to replace a maxillary second molar (tooth #17). The maxillary second molar was deemed non-restorable due to a vertical root fracture in mesial root. Root canal therapy was first performed on the mesial root of the mandibular third molar before the two extractions to minimize post-treatment irritation. After extraction of maxillary second molar, the mandibular third molar was hemisected and the mesial root was placed into the recipient site. After one year, clinical and radiographic examinations revealed satisfactory outcomes with no signs or symptoms suggestive of pathology. In selected cases, autogenous tooth transplantation, even after complete root formation of the donor tooth, may be considered a practical treatment alternative to conventional prosthetic rehabilitation or implant treatment.
Autotransplantation of a maxillary third molar with closed roots
Oral Surgery, 2013
Autogenous transplantation is a feasible, fast and economical option for the treatment of missing teeth when a suitable donor tooth is available. This paper presents successful autotransplantation of a hemisected mature mandibular third molar (tooth #48) with complete root development used to replace a maxillary second molar (tooth #17). The maxillary second molar was deemed non-restorable due to a vertical root fracture in mesial root. Root canal therapy was first performed on the mesial root of the mandibular third molar before the two extractions to minimize post-treatment irritation. After extraction of maxillary second molar, the mandibular third molar was hemisected and the mesial root was placed into the recipient site. After one year, clinical and radiographic examinations revealed satisfactory outcomes with no signs or symptoms suggestive of pathology. In selected cases, autogenous tooth transplantation, even after complete root formation of the donor tooth, may be considered a practical treatment alternative to conventional prosthetic rehabilitation or implant treatment.