Premolar Autotransplantation to the Anterior Maxilla Region—Aesthetic Outcome and Patient Satisfaction

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Dental Traumatology Pub Date : 2025-03-12 DOI:10.1111/edt.13057

Romy Doomen, Dick Barendregt, Liesbeth Temmerman, Noëmi De Roo, Guy De Pauw

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Abstract

Aim

The aim of this study was to assess the aesthetic results and patient satisfaction of premolars transplanted to the maxillary incisor region.

Material and Methods

In this multicenter study, 192 patients were included, with a minimum follow-up of 3 years.

The aesthetic evaluation comprised two parts:

Assessment of the PES/WES score using standardized intraoral photographs.
Patient's perspective (VAS questionnaire).

Results

The mean PES score was 6.94 (range, 2–10), and the mean WES score was 7.44 (range, 2–10). Most patients' aesthetic results were clinically acceptable (64.6%) to nearly perfect (9.4%). Significant correlations were found between PES and the orientation of the transplant at the receptor site (p = 0.038) and the level of oral hygiene (p < 0.001). A rotated orientation of the transplanted premolar at the receptor site and a poor/moderate level of oral hygiene are associated with lower PES scores. For the WES, there was a significant correlation with the restorative dentist (p < 0.001); if the restorative dentist was based at Center A instead of Center B, this is associated with higher WES scores. The response rate for the VAS questionnaire was 61.9%. 84.8% of the patients perceived the aesthetic outcome of the transplanted premolar the same as other teeth, 15.9% were not satisfied with the restorative treatment, and 12.6% were not satisfied with the surrounding tissues.

Discussion

Autotransplantation is a viable treatment option in cases with missing upper front teeth; PES/WES scores were at least comparable but mostly higher than those found in implant studies evaluating single-tooth replacement in the anterior maxilla. The VAS questionnaire showed that patients were satisfied with their transplanted tooth, which was consistent with the results of previous studies.

Conclusion

The aesthetic outcomes of premolars transplanted to the maxillary incisor region are predominantly favorable.

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上颌前区自体前磨牙移植-美学效果及患者满意度。

目的：本研究的目的是评估前磨牙移植到上颌切牙区的美学效果和患者满意度。材料和方法：在这项多中心研究中，纳入了192例患者，至少随访3年。美学评价包括两部分：使用标准化的口内照片评估PES/WES评分。患者视角（VAS问卷）。结果：PES评分平均为6.94分（范围2-10），WES评分平均为7.44分（范围2-10）。大多数患者的美容结果临床可接受（64.6%）至接近完美（9.4%）。PES与移植体在受体部位的朝向（p = 0.038）和口腔卫生水平之间存在显著相关性(p)。PES/WES评分至少与评估上颌前牙单牙置换术的种植体研究中发现的评分相当，但大多高于这些评分。VAS问卷调查显示患者对移植牙满意，这与以往的研究结果一致。结论：前磨牙移植至上颌切牙区美观效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.