Pulp survival and periodontal healing of autotransplanted teeth: a retrospective study

Authors

DOI:

https://doi.org/10.33448/rsd-v11i17.39196

Keywords:

Dental pulp; Transplant; Regeneration.

Abstract

Aim: The aim of this retrospective study was to evaluate the post-surgical results of autotransplanted teeth, considering the pulp survival rate and periodontal healing. Methodology: Records of 43 patients with 50 autotransplanted teeth were analysed. Demographic, clinical and radiographic data were verified. The time between autotransplantation surgery and the date of endodontic access was considered to assess the pulp survival rate. Periodontal healing was observed through gingival morphology and the presence of root resorption. Pulp survival was verified and the influence of Nolla stage on the survival rate was analysed. Results: The pulp survival rate was 72%, and the stage of root development influenced the survival rate in autotransplanted teeth (p = 0.001). The pulp survival rate in autotransplanted teeth in Nolla stages 6 and 7 was 100%; the pulp survival rate for teeth in stages 8 and 9 was 90% and 75%, respectively. Regarding periodontal analysis, no tooth was observed in the presence of periodontal pockets and mobility above grade I. Replacement resorption was diagnosed in 20% and external inflammatory resorption in 4%. Conclusions: Dental autotransplantation was a safe treatment, showing satisfactory results. The pulp survival rate was considered high, especially in teeth with incomplete rhizogenesis.

References

Akhlef, Y., Schwartz, O., Andreasen, J. O., & Jensen, S. S. (2018). Autotransplantation of teeth to the anterior maxilla: a systematic review of survival and success, aesthetic presentation and patient‐reported outcome. Dental Traumatology., 34, 20–27.

Almpani, K., Papageorgiou, S. N., & Papadopoulos, M. A. (2018). Autotransplantation of teeth in humans: a systematic review and meta-analysis. Clinical Oral Investigations., 19, 1157–1179.

Andreasen, J. O., Paulsen, H. U., & Yu (1990). A long-term study of 370 autotransplanted premolars: part I—surgical procedures and standardized techniques for monitoring healing. European Journal of Orthodontics., 12, 3–13.

Borring‐Møller, G., & Frandsen, (1978). A. Autologous tooth transplantation to replace molars lost in patients with juvenile periodontitis. Journal of Clinical Periodontology., 5, 152–158.

Candeiro, G. T., Alencar-Júnior, E. A., Scarparo, H. C., Furtado-Júnior, J. H., Gavini, G., & Caldeira, C. L. (2015). Eight-year follow-up of autogenous tooth transplantation involving multidisciplinary treatment. Journal of Oral Science., 57, 273–276.

Clokie, C. M., Yau, D. M., & Chano, L. (2001). Autogenous tooth transplantation: an alternative to dental implant placement? Journal (Canadian Dental Association)., 67, 92–96.

Czochrowska, E. M., Stenvik, A., Bjercke, B., & Zachrisson, B. U. (2002). Outcome of tooth transplantation: survival and success rates 17–41 years post- treatment. American Journal of Orthodontics and Dentofacial Orthopedics., 121, 110–119.

de Freitas Coutinho, N. B., Nunes, F. C., Intra, J. B. G., Roldi, A., de-Jesus-Soares, A., Coelho, M. S., et al. (2021). Success, survival rate, and soft tissue esthetic of tooth autotransplantation. Journal of Endodontics., 47, 391–396.

He, L., Kim, S. G., Gong, Q., Zhong, J., Wang, S, Zhou, X., et al. Regenerative endodontics for adult patients. Journal of Endodontics., 43, S57–S64, 2017.

Hupp, J. G., Mesaros, S. V., Aukhil, I., & Trope, M. (1998). Periodontal ligament vitality and histologic healing of teeth stored for extended periods before transplantation. Dental Traumatology., 14, 79–83.

Jonsson, T., & Sigurdsson, T. J. (2004). Autotransplantation of premolars to premolar sites. A long-term follow-up study of 40 consecutive patients. American Journal of Orthodontics and Dentofacial Orthopedics., 125, 668–675.

Kafourou, V., Tong, H. J., Day, P Houghton, N., Spencer, R. J., & Duggal, M. (2017). Outcomes and prognostic factors that influence the success of tooth autotransplantation in children and adolescents. Dental Traumatology., 33, 393–399.

Kristerson, L. (1985). Autotransplantation of human premolars: a clinical and radiographic study of 100 teeth. International Journal of Oral Surgery., 14, 200-213.

Kristerson, L., & Lagerstrom, L (1991). Autotransplantation of teeth in cases with agenesis or traumatic loss of maxillary incisors. European Journal of Orthodontics., 13, 486–492.

Kugelberg, R., Tegsjo, U., & Malmgren, O. (2002). Autotransplantation of 45 teeth to the upper incisor region in adolescents. Swedish Dental Journal., 18, 165–172, 1994.

Lee, S. J., Jung, I. Y., Lee, C. Y., Choi, S. Y., & Kum, K. Y. (2001). Clinical application of computer‐aided rapid prototyping for tooth transplantation. Dental Traumatology., 17, 114–119.

Ninomiya, M., Kamata, N., Fujimoto, R., Ishimoto, T., Kido, J. I., Nagayama, M., et al. (2002). Application of enamel matrix derivative in autotransplantation of an impacted maxillary premolar: a case report. Journal of Periodontology., 73, 346–351.

Paulsen, H. U., Andreasen, J. O., & Schwartz, O (1995). Pulp and periodontal healing, root development and root resorption subsequent to transplantation and orthodontic rotation: a long-term study of autotransplanted premolars. American Journal of Orthodontics and Dentofacial Orthopedics.,108, 630–640.

Plakwicz, P., Wojtowicz, A. ,& Czochrowska, E. M. (2013). Survival and success rates of autotransplanted premolars: a prospective study of the protocol for developing teeth. American Journal of Orthodontics and Dentofacial Orthopedics., 144, 229–237.

Rohof, E. C., Kerdijk, W., Jansma, J., Livas, C., & Ren, Y. (2018). Autotransplantation of teeth with incomplete root formation: a systematic review and meta-analysis. Clinical Oral Investigations., 22, 1613–1624.

Schatz, J. P., & Joho, J. P. (1994). Indications of autotransplantation of teeth in orthodontic problem cases. American Journal of Orthodontics and Dentofacial Orthopedics., 106, 351–357.

Schwartz, O., Bergmann, P., & Klausen, B. (1985). Autotransplantation of human teeth: a life-table analysis of prognostic factors. International Journal of Oral Surgery., 14, 245–258.

Skoglund, A., & Hasselgren, G. (1992). Tissue changes in immature dog teeth autotransplanted to surgically prepared sockets. Oral Surgery, Oral Medicine, Oral Pathology., 74, 789–795.

Thomas, S., Turner, S. R., & Sandy, J. R. (1998). Autotransplantation of teeth: is there a role?. British Journal of Orthodontics., 25, 275–282.

Tsukiboshi, M. (2002). Autotransplantation of teeth: requirements for predictable success. Dental Traumatology., 18, 157–180.

Vandenbroucke, J. P., Von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., et al. (2007). Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Annals of Internal Medicine., 12, 1500– 1524.

Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Medicine., 4, 1623– 1627.

Xu, L., Gu, H., Zou, G., Yuan, H., & Zhou, J. (2021). Autotransplantation of a completely developed impacted maxillary canine: a 7-year follow-up case report. Journal of the American Dental Association., 152, 763–769.

Published

26/12/2022

How to Cite

ALMEIDA, T. J. da S. .; ROLDI , A. .; FINCK, N. S.; BELTRAME , L. S. A. .; INTRA , J. B. G. .; LIMA , T. F. R. . Pulp survival and periodontal healing of autotransplanted teeth: a retrospective study. Research, Society and Development, [S. l.], v. 11, n. 17, p. e220111739196, 2022. DOI: 10.33448/rsd-v11i17.39196. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/39196. Acesso em: 26 dec. 2024.

Issue

Section

Health Sciences