Combined application of artificial bone powders and concentrated growth factor membranes on the autotransplantation of mature third molars: A 5-year retrospective case series.

Autor: Ainiwaer A; Department of Oral Surgery Clinic, the First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital), Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, Urumqi, China., Tuerdi M; Department of Oral and Maxillofacial Trauma and Orthognathic Surgery, the First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital), Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, Urumqi, China., Zuolipahaer Z; Nursing Department, Urumqi Eye Ear Throat Hospital (Urumqi International Hospital), Urumqi, China., Wang L; Department of Oral Surgery Clinic, the First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital), Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, Urumqi, China.
Jazyk: angličtina
Zdroj: Dental traumatology : official publication of International Association for Dental Traumatology [Dent Traumatol] 2024 Dec; Vol. 40 (6), pp. 636-648. Date of Electronic Publication: 2024 Jun 10.
DOI: 10.1111/edt.12974
Abstrakt: Aim: This study aimed to observe the efficacy and outcomes of the combined application of artificial bone powder and concentrated growth factor (CGF) membranes for tooth transplantation in cases with wide recipient sockets and small donor teeth.
Material and Methods: A total of 36 teeth from 36 patients with wide recipient sockets and small donor teeth were enrolled. Autogenous tooth transplantation was performed using bone powders and CGF membranes. After transplantation, the visual analog scale (VAS) score, Landry Wound Healing Index, probing depth (PD), mobility, and gray value of the alveolar bone around the transplanted teeth were measured, and a patient satisfaction questionnaire was administered. All patients underwent clinical and radiographic examinations during follow-up.
Results: The VAS score of 16 (44.4%) cases after 1 week was 0, and 26 (72.2%) patients showed excellent gingival healing after 2-4 weeks. The PD of a few cases was deeper than 3 mm during the first month; however, returned to normal after 3 months. Although the majority of the transplanted teeth possessed mobility greater than grade I during the first month, the mobility gradually improved within 3 months. The gray value of the alveolar bone around the transplanted teeth, 1 year postoperatively showed no difference with pre-operation (p > .05). During the mean follow-up period of 42.7 months (range 20-72 months), 33 of the 36 transplanted teeth remained in situ without clinical or radiographic complications, with an overall success rate of 91.7%.
Conclusions: Although the PD and mobility of the transplanted teeth were not ideal during the early stages of healing, most of the transplanted teeth had good clinical outcomes. In cases with large recipient sites accompanied by small donor teeth, autotransplantation of teeth using artificial bone powder combined with CGF membranes is a viable option and can lead to optimistic results with favorable success rates.
(© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: