Chhana Akshay A, Moretti Antonio J, Lietzan Adam D, Christensen John R, Miguez Patricia A
Department of Periodontology, Endodontics and Dental Hygiene, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Department of Biomedical Sciences, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
J Clin Med. 2024 Dec 24;14(1):17. doi: 10.3390/jcm14010017.
: Permanently replacing missing teeth in the younger population is a clinical challenge. However, dental autotransplantation offers a viable treatment option in this demographic. To be performed predictably, it requires proper diagnoses, planning, and adherence to established guidelines in a multidisciplinary approach. Such guidelines should use evidence-based dentistry to anticipate and limit complications. The aim of this study is to evaluate the current literature on dental autotransplantation, discuss an evidence-based protocol, highlight steps for minimizing complications, and present a case report on two autotransplantations conducted at the Graduate Periodontology clinic at the University of North Carolina at Chapel Hill, Adams School of Dentistry, in the context of representative cases. A literature search using PubMed was conducted with the goal of constructing a comparative table on both survival and success rates of autotransplantation, providing a comparison of protocols and clinical studies and informing this narrative review. This review is illustrated by cases with the intention to highlight critical steps, limitations, and strengths of this mode of treatment. Given the information presented, it is concluded that autotransplantation is a valuable treatment option provided established guidelines are followed. It is particularly useful for the younger population where implants or other options are not appropriate or feasible. This study also highlights some of the gaps in knowledge in autotransplantation which present opportunity for further studies to be developed.
在较年轻人群中永久性替换缺失牙是一项临床挑战。然而，牙自体移植为这一人群提供了一种可行的治疗选择。为了可预测地进行牙自体移植，需要进行恰当的诊断、规划，并以多学科方法遵循既定指南。此类指南应采用循证牙科来预测和限制并发症。本研究的目的是评估关于牙自体移植的当前文献，讨论循证方案，强调将并发症降至最低的步骤，并结合具有代表性的病例，呈现北卡罗来纳大学教堂山分校亚当斯牙科学院牙周病学研究生诊所进行的两例牙自体移植病例报告。利用PubMed进行了文献检索，目的是构建一个关于牙自体移植存活率和成功率的对比表，对方案和临床研究进行比较，并为这篇叙述性综述提供信息。本综述通过病例进行阐述，旨在突出这种治疗方式的关键步骤、局限性和优势。根据所提供的信息得出结论，即如果遵循既定指南，牙自体移植是一种有价值的治疗选择。它对植入物或其他选择不合适或不可行的较年轻人群尤其有用。本研究还突出了牙自体移植知识方面的一些空白，这些空白为进一步开展研究提供了机会。
