Digital planning and drilling splint for auto transplantation of third molars.

Authors

DOI:

https://doi.org/10.60094/RID.20230202-31

Abstract

The surgical movement of a tooth from one socket to another, in the same individual, is defined as autotransplantation. Digital planning has increased the success rate in dental autotransplants, reducing surgical time. The objective of this study was to present a surgical-endodontic protocol with digital planning for the autotransplantation of a third molar after the extraction of the lower right first molar, in which endodontic treatment was performed two weeks later, with placement of calcium hydroxide until its closure. Post-surgical controls were carried out for six months to determine the success rate of the treatment, analyzing the gingival clinical appearance and periodontal probing depth, radiographically the absence of periapical lesion and the widening of the periodontal ligament space in the autotransplanted tooth were evaluated. The implemented protocol allowed a short surgical time, making the autotransplant process more precise and predictable, with lasting results, becoming an alternative to the placement of dental implants.

Downloads

Download data is not yet available.

References

Tsukiboshi M, Yamauchi N, Tsukiboshi Y. Long‐term outcomes of autotransplantation of teeth: A case series. Dent Traumatol. 2019;35(6):358–67. DOI: https://doi.org/10.1111/edt.12495

Lucas-Taulé E, Llaquet M, Muñoz-Peñalver J, Somoza J, Satorres-Nieto M, Hernández-Alfaro F. Fully guided tooth autotransplantation using a multidrilling axis surgical stent: proof of concept. J Endod. 2020;46(10):1515–21. DOI: https://doi.org/10.1016/j.joen.2020.06.017

Jang Y, Choi YJ, Lee S-J, Roh B-D, Park SH, Kim E. Prognostic factors for clinical outcomes in autotransplantation of teeth with complete root formation: survival analysis for up to 12 years. J Endod. 42(2):198–205. DOI: https://doi.org/10.1016/j.joen.2015.10.021

Andreasen JO, Paulsen HU, Yu Z, Bayer T. A long-term study of 370 autotransplanted premolars. Part IV. Root development subsequent to transplantation. Eur J Orthod 1990; 12:38–50. DOI: https://doi.org/10.1093/ejo/12.1.38

Lee S-J, Kim E. Minimizing the extra-oral time in autogeneous tooth transplantation: use of computer-aided rapid prototyping (CARP) as a duplicate model tooth. Restor Dent Endod. 2012;37(3):136-141. DOI: https://doi.org/10.5395/rde.2012.37.3.136

Almpani K, Papageorgiou SN, Papadopoulos MA. Autotransplantation of teeth in humans: a systematic review and meta-analysis. Clin Oral Investig. 2015;19(6):1157–79. DOI: https://doi.org/10.1007/s00784-015-1473-9

Tsukiboshi M, Andreasen JO. Autotransplantation of Teeth. First edition. Japan: Quintessence Publishing (IL); 2001.

Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331-342. DOI: https://doi.org/10.1111/edt.12573

Peña-Cardelles J, Ortega-Concepción D, Moreno-Perez J, Asensio-Acevedo R, Sánchez A, García-Guerrero I, et al. Third molar autotransplant planning with a tooth replica. A year of follow-up case report. J Clin Exp Dent. 2021;13(1):e75-e80. DOI: https://doi.org/10.4317/jced.57066

Koldsland OC, Scheie AA, Aass AM. The association between selected risk indicators and severity of peri-implantitis using mixed model analyses. J Clin Periodontol. 2011;38(3):285-292. DOI: https://doi.org/10.1111/j.1600-051X.2010.01659

Slagsvold O, Bjercke B. Autotransplantation of premolars with partly formed roots: a radiographic study of root growth. Am J Orthod. 1974;66(4):355-366. DOI: https://doi.org/10.1016/0002-9416(74)90046-3

Published

2023-12-30

How to Cite

Llanos, S., García, H., Manresa, C., Bonilla, C., & Baasch, A. (2023). Digital planning and drilling splint for auto transplantation of third molars. Reporte Imagenológico Dentomaxilofacial, 2(2), e2023020207. https://doi.org/10.60094/RID.20230202-31