Fully guided system for position‐predictable autotransplantation of teeth: A randomized clinical trial

International Endodontic Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 27, 2025

Abstract Aim Autotransplantation of teeth (ATT) is a viable biological method for addressing dental defects. The objective was to achieve occlusal reconstruction‐orientated ATT enhance functionality and obtain optimal location adjacency. This study proposes new concept guide (a fully guided system) position‐predictable ATT. Methodology included 30 transplants in 29 patients who were randomly divided into two groups during the initial examination using single‐blind method. experimental group comprised 15 14 underwent surgery system. Fifteen performed on control only replica. Results mean number repeated autotransplantation attempts preparation time exhibited no significant differences. follow‐up period 1 year. Twenty‐six followed up clinically, while four by phone calls. demonstrated 100% success rate, whereas 70% with an overall survival rate. 3D analysis: Deviation both angle distance calculated evaluation accuracy. centre deviation experiment 0.79 mm (95% confidence interval [CI], 0.51–1.08) compared 1.79 CI, 1.10–2.47) ( p < .05). average index points showed difference. long axis 3.87° 2.25–5.49) 12.98° 8.64–17.31) mesio‐distal direction, buccal‐lingual direction rotation difference also. Conclusions results analysis indicated that system increased predictability achieving ideal transplant position intuitive data, establishing solid foundation functional recovery restoration. However, this had limitations regarding generalisability design transplantation equipment requirements clinical procedures. Therefore, further research screening indications systems planning necessary. Clinical Trial Registration registered Chinese Registry (Registration Number: ChiCTR 2300074646).

Language: Английский

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Tooth autotransplantation as a solution for early molar loss in adolescents: A 7-year follow-up case study

Deleted Journal, Journal Year: 2025, Volume and Issue: 4(1), P. 39 - 43

Published: Jan. 1, 2025

ABSTRACT This case report describes a tooth autotransplantation procedure performed on 14-year-old male who experienced early loss due to severe decay and periodontal disease affecting #36. Given the patient’s age developmental stage of jawbone, fixed prosthetic solution was deemed unsuitable. An unerupted third molar (#38) selected as donor transplanted into extraction site Initially, patient opted for partial denture; however, following comprehensive education long-term benefits autotransplantation, he elected undergo transplant procedure. The involved modifying recipient accommodate tooth, securing it with splint, implementing regular follow-ups over 7-year period. Despite abnormal root development remained functional without significant complications, thereby delaying need an implant. highlights viability effective treatment option young patients, underscoring importance education, meticulous monitoring, consideration future restorative needs.

Language: Английский

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Autotransplantation of Impacted Third Molars to DCIA Free Flap in Adolescent Patient: A Case Report

Children, Journal Year: 2025, Volume and Issue: 12(3), P. 370 - 370

Published: March 16, 2025

Introduction: Tooth autotransplantation is a well-established dental surgical procedure. However, third molar to bony free flaps rarely performed. We present case of two impacted wisdom teeth that were transplanted DCIA flap using 3D printing technologies. Case report: A 10-year-old girl was diagnosed with ossifying fibroma. She underwent segmental mandibular resection nerve preservation and reconstruction flap. Six years later, due edentulism, tooth performed digital planning, thermoplastic vacuum-formed guides, 3D-printed replicas. Postoperatively, splint fixation required for 12 weeks mobility, minor wound complication resolved spontaneously. At the one-year follow-up, integrated successfully without resorption or ankylosis. Orthodontic treatment initiated optimize alignment. Conclusions: This an in adolescent patient after non-malignant tumor demonstrates promising results. The application technology significantly enhances feasibility transplantation challenging cases, particularly suboptimal donor such as teeth, by enabling precise planning optimized recipient site preparation while also reducing damage grafted during transplantation. Further research needed assess role flaps.

Language: Английский

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Digital Simulation and Designing of a Novel Osteotomy Guide for Autotransplantation in the Anterior Region

Dental Traumatology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 24, 2024

ABSTRACT Autotransplantation of teeth (ATT) is a viable treatment option for replacing lost due to various reasons. Periodontal ligament (PDL) on the donor tooth one most crucial factors determining success ATT. To preserve PDL during surgery and improve rate ATT, digital dentistry has been applied In this article, workflow including surgical simulation, three‐dimensional (3D) replica fabrication, novel osteotomy guide design introduced. Digital simulation ATT patient's integrated model enables visualization anatomical structures 3D position prior actual surgery. The 3D‐printed allows transfer direction depth planned into intraoral environment. helps prepare recipient site before transplantation, which minimizes extra‐alveolar time decreases trauma try‐in process. proposed virtual planning use can facilitate procedures while minimizing complications.

Language: Английский

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The Diagnosis and Management of Infraoccluded Deciduous Molars: A Systematic Review

Children, Journal Year: 2024, Volume and Issue: 11(11), P. 1375 - 1375

Published: Nov. 12, 2024

The infraocclusion (IO) of primary molars, often seen in retained deciduous teeth, is a common condition that presents significant challenges for pediatric oral health. It occurs when molars are positioned below the occlusal plane due to absence permanent successors, leading complications such as misaligned impaired chewing, and long-term dental health issues. Objectives: This study examines IO prevalence, diagnosis, treatment approaches. Methods: A systematic review following PRISMA guidelines was conducted, searching PubMed, Web Science, Scopus articles from last 15 years. Nine were included qualitative analysis. Results: associated with several complications, including root resorption, altered eruption adjacent space loss within arch. Clinical radiographic evaluations key early detection. Severe cases require invasive treatments, tooth extraction maintenance, while mild could be monitored. Conclusions: prevalent dentistry can lead issues if untreated. Early detection intervention crucial preventing like misalignment impacted premolars. Tailored strategies based on severity, along increased awareness among practitioners, essential improve outcomes affected children.

Language: Английский

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Prognostic factors for autotransplanted third molars with completely formed roots

The Journal of the American Dental Association, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 1, 2024

Language: Английский

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A Narrative and Case-Illustrated Review on Dental Autotransplantation Identifying Current Gaps in Knowledge

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 14(1), P. 17 - 17

Published: Dec. 24, 2024

Background: Permanently replacing missing teeth in the younger population is a clinical challenge. However, dental autotransplantation offers viable treatment option this demographic. To be performed predictably, it requires proper diagnoses, planning, and adherence to established guidelines multidisciplinary approach. Such should use evidence-based dentistry anticipate limit complications. The aim of study evaluate current literature on autotransplantation, discuss an protocol, highlight steps for minimizing complications, present case report two autotransplantations conducted at Graduate Periodontology clinic University North Carolina Chapel Hill, Adams School Dentistry, context representative cases. Methods: A search using PubMed was with goal constructing comparative table both survival success rates providing comparison protocols studies informing narrative review. This review illustrated by cases intention critical steps, limitations, strengths mode treatment. Results Conclusions: Given information presented, concluded that valuable provided are followed. It particularly useful where implants or other options not appropriate feasible. also highlights some gaps knowledge which opportunity further developed.

Language: Английский

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Feasibility of dental autotransplantation in cases of trauma

Salud Ciencia y Tecnología - Serie de Conferencias, Journal Year: 2024, Volume and Issue: 3

Published: Dec. 28, 2024

Introduction: Dental autotransplantation has been presented as a conservative and effective option for replacing lost teeth, offering viable alternative to dental implants. This procedure valued its ability preserve natural periodontal structures in patients. Therefore, the objective of study oriented analyze feasibility safety autotransplantation, by evaluating clinical effectiveness, success rates possible complications comparison with implants.Method: A bibliographic review was carried out on comparative studies In addition, influence factors selection each treatment analyzed using AHP method Saaty ARAS.Results: Autotransplantation showed high survival rates, especially patients adequate health. As complications, they were lower when strict ligament preservation protocols followed. Compared implants, proved be better results patient's health.Conclusions: an safe teeth. Its advantages over implants include costs faster recovery process, although it requires postoperative monitoring minimize

Language: Английский

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