What is the impact of autotransplantation on the long-term stability and patient satisfaction of impacted canines? A Systematic Review

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Saudi Dental Journal Pub Date : 2024-10-01 DOI:10.1016/j.sdentj.2024.08.006
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Abstract

Introduction

Autotransplantation is a surgical technique in which a tooth is repositioned after extraction. It is commonly used for impacted canines, which affect about 2% of the population and are more prevalent in females. These canines may remain embedded due to their late eruption. Treatment options include orthodontic appliances or autotransplantation, especially when canines are positioned too high or angled more than 45 degrees from the occlusal plane.

Aim

To review the literature regarding the effects of autotransplantation on patient satisfaction, aesthetic outcomes, and the long-term stability of autotransplantation.

Materials and Methods

This Systematic Review, registered with PROSPERO (CRD4202341), followed the PICO framework. Extensive searches were conducted in the Cochrane Library, PubMed, ScienceDirect, Scopus, VHL Regional Portal, and Web of Science, covering literature up to April 1, 2023.

Results

The review analyzed 11 studies involving the autotransplantation of 395 canine teeth, including two mandibular canines. Findings indicate higher success rates in younger patients, with a higher prevalence of transplantation in females (1 6 4) than males (1 0 5). The survival rate of transplanted canines was up to 67.9 % after 21 years, with some surviving up to 27.8 years. Success factors included young age, female gender, minimal extraoral time, proper root canal treatment, and effective post-operative care. Negative factors included ankylosis, root resorption, root fractures, infections, and periodontal issues. Complications included tooth darkening and the need for crowning. Patient satisfaction was rarely reported, with only three studies mentioning it and none addressing quality-of-life directly.

Conclusion

Canine autotransplantation is viable for selected patients when other treatments are insufficient. Despite various influencing factors, consensus guidelines for procedural decisions still need to be improved, and reports on patient satisfaction and quality-of-life impacts should be more frequent.
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自体移植对撞击性犬齿的长期稳定性和患者满意度有何影响?系统回顾
导言自体牙移植是一种在拔牙后对牙齿进行重新定位的外科技术。它通常用于治疗影响约 2% 人口的犬齿,在女性中更为常见。由于萌出较晚,这些犬齿可能会嵌入牙槽骨。治疗方法包括正畸矫治器或自体牙移植,尤其是当犬齿位置过高或与咬合面的角度超过 45 度时。目的综述有关自体牙移植对患者满意度、美学效果以及自体牙移植长期稳定性的影响的文献。在 Cochrane Library、PubMed、ScienceDirect、Scopus、VHL Regional Portal 和 Web of Science 中进行了广泛的检索,涵盖了截至 2023 年 4 月 1 日的文献。研究结果表明,年轻患者的成功率更高,女性(1 6 4)的移植率高于男性(1 0 5)。移植的犬齿在 21 年后的存活率高达 67.9%,部分存活时间长达 27.8 年。成功因素包括年龄小、性别为女性、口外时间短、根管治疗得当以及术后护理有效。不利因素包括强直、牙根吸收、牙根折断、感染和牙周问题。并发症包括牙齿变黑和需要镶牙。患者的满意度很少有报道,只有三项研究提到,没有一项研究直接涉及生活质量问题。尽管存在各种影响因素,但程序决策的共识指南仍需改进,有关患者满意度和生活质量影响的报告应更加频繁。
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来源期刊
Saudi Dental Journal
Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.60
自引率
0.00%
发文量
86
审稿时长
22 weeks
期刊介绍: Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.
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