Dixit Ankita, Randhawa Rajbir K, Randhawa Gagandeep S, Nimavat Abhishek, Patel Twinkal, Jani Yesha
Department of Pedodontics and Preventive Dentistry, Goenka Research Institute of Dental Science, India.
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Jamnagar, Gujarat, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2168-S2171. doi: 10.4103/jpbs.jpbs_66_24. Epub 2024 Jul 31.
The aim of the study was to assess and compare the efficacy of autotransplantation of molars with complete and incomplete root formation, by checking the viability of the procedure to replace non-restorable molar teeth in the extraction sockets.
Twenty patients with non-restorable molars were included in this study. They were divided into two groups with complete and incomplete root-formed third molars, which needed to be transplanted in place of non-restorable molars. A routine surgical procedure was performed to remove infected molars. Atraumatic removal of the third molar was performed and reimplanted in the socket of previously extracted infected molars.
Results were evaluated based on clinical observation and radiographic analysis of the transplanted tooth. Out of 20 transplants, one transplant, despite good initial stability, was extracted after one month because of abnormal horizontal and axial mobility; this was the single failure case (5%). Of the rest, 19/20 (95%) transplants were followed up for 6 months and showed no failure.
This study clearly indicated that the benefits of autotransplantation over other treatment options are numerous, and the results are not affected by whether the root of the transplanted tooth is complete or incompletely formed.
本研究的目的是通过检查在拔牙窝中替换无法修复的磨牙这一操作的可行性,来评估和比较牙根完全形成与未完全形成的磨牙自体移植的疗效。
本研究纳入了20例患有无法修复磨牙的患者。他们被分为两组,分别使用牙根完全形成和未完全形成的第三磨牙,这些第三磨牙需要被移植以替代无法修复的磨牙。实施常规外科手术以拔除感染的磨牙。对第三磨牙进行无创拔除,并将其重新植入先前拔除的感染磨牙的牙槽窝中。
基于对移植牙的临床观察和影像学分析对结果进行评估。在20例移植中,有1例移植牙尽管初始稳定性良好,但由于异常的水平和轴向移动性在1个月后被拔除;这是唯一的失败病例(5%)。其余的20例中有19例(95%)接受了6个月的随访,未出现失败情况。
本研究清楚地表明,自体移植相对于其他治疗选择有诸多益处,并且结果不受移植牙牙根是完全形成还是未完全形成的影响。