Periodontal status after autologous tooth transplantation (ATT) of premolars and wisdom teeth.

Autor: Züger M; Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland. patrick.schmidlin@zzm.uzh.ch., Mukkadam K; Department of Oral Surgery and Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland. patrick.schmidlin@zzm.uzh.ch., Filippi A; Department of Oral Surgery and Center of Dental Traumatology, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland. patrick.schmidlin@zzm.uzh.ch., Schmidlin PR; Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland. patrick.schmidlin@zzm.uzh.ch.
Jazyk: angličtina
Zdroj: Swiss dental journal [Swiss Dent J] 2024 Nov 06; Vol. 134 (4), pp. 54-71. Date of Electronic Publication: 2024 Nov 06.
DOI: 10.61872/sdj-2024-04-05
Abstrakt: This study explored the clinical and radiological outcomes after autologous premolar and wisdom tooth transplantation, with a focus on periodontal status. A systematic search was conducted using all relevant databases up to April 5, 2024. The inclusion criteria were as follows: a) human participants, b) a sample size of at least five autotransplanted teeth, c) molar or premolar transplants, d) English language use, and e) at least 1 year of follow-up. The following parameters were assessed: probing pocket depth, recession, tooth mobility, ankylosis, bone level, and tooth loss. Our search identified 466 records, and after our selection process, 25 articles were suitable for analysis, with a total of 3732 teeth (569 premolars and 350 molars) with a mean follow-up duration of 6.1 years. The 10-year survival rate of autologous tooth transplants ranged from 33.8% to 100%, and the mean complication rates of root resorption and ankylosis were 8.9% (13 studies) and 14.0% (10 studies), respectively. Periodontal complications such as periradicular radiolucency, periodontal defects, and attachment loss occurred in less than 10% of patients. The premolars exhibited superior clinical and radiological outcomes compared with the molars. In conclusion, the survival rate and periodontal status after autologous tooth transplantation (ATT) of premolars and molars were consistent with those of traditional dental implants. Therefore, autotransplantation may be considered in cases where dental implants are indicated. As specific reports on periodontal complications are scarce, further research is warranted to identify the specific factors associated with periodontal complications in autologous transplant recipients.
(Copyright 2024 . License: This work is licensed under a Creative Commons Attribution 4.0 International License.)
Databáze: MEDLINE