Orthodontic and Craniofacial Department, School of Graduate Dentistry, Rambam Health Care Campus, Technion Faculty of Medicine, Haifa, Israel.
J Craniomaxillofac Surg. 2013 Jul;41(5):371-81. doi: 10.1016/j.jcms.2012.10.020. Epub 2012 Dec 7.
Tooth autotransplantation has developed into a safe and predictable procedure, which preserves the continuity of the dental arch and the alveolar process and provides an acceptable aesthetic and physiological outcome.
To describe our experience with autotransplantation of the developing mandibular premolar to the iliac crest grafted alveolar cleft as part of the cleft patient's treatment protocol.
Four cleft affected patients were referred to the Orthodontic and Craniofacial Department, Rambam Health Care Campus, Haifa, Israel due to loss of teeth in the cleft area. In all cases, orthodontic closure of the missing teeth space in the maxillary dental arch was considered inappropriate and therefore autotransplantation of the extracted mandibular premolar to the bone-grafted alveolar cleft site was conducted.
None of the transplanted teeth in the reported cleft affected patients had signs or symptoms of progressive root pathology, gingival disease or advanced tooth mobility. Long-term clinical follow-up examination revealed improved facial aesthetics and occlusal relationships along with increased self-esteem and welfare of the patients' with no need for future dental restorative treatment.
Autotransplantation of mandibular premolars should be considered an alternative to prosthodontics in cleft affected patients as an integral part of the cleft patient's treatment protocol.
牙自体移植已发展成为一种安全且可预测的程序，可保持牙弓和牙槽突的连续性，并提供可接受的美学和生理效果。
描述我们在髂嵴移植牙槽裂的下颌前磨牙自体移植方面的经验，作为腭裂患者治疗方案的一部分。
由于在裂隙区域牙齿缺失，有 4 名腭裂患者被转诊到以色列海法的 Rambam 医疗保健校园的正畸和颅面科。在所有情况下，都认为上颌牙弓中缺失牙齿空间的正畸闭合不合适，因此将提取的下颌前磨牙自体移植到骨移植的牙槽裂部位。
报告的腭裂患者中没有一颗移植牙出现进行性根病理、牙龈疾病或牙齿松动等迹象或症状。长期临床随访检查显示，患者的面部美学和咬合关系得到改善，自尊心和幸福感增强，无需进行未来的牙科修复治疗。
对于腭裂患者，下颌前磨牙的自体移植应被视为修复治疗的替代方法，作为腭裂患者治疗方案的一个组成部分。
