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[Tooth transplantation: an extra dimension in orthodontics]
1Afdeling Orthodontie Kliniek voor Tand- Mond- en Kaakziekten UZ RUG-De Pintelaan 185, B-9000 Gent.
Summary
Autogenous tooth transplantation offers a 90% success rate, even after 40 years, when performed with proper timing and surgical technique. Cryopreservation of teeth, even after pulp removal, does not hinder pulp tissue regeneration post-transplantation.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Regenerative Dentistry
Context:
- Autogenous tooth transplantation is a viable treatment option for missing teeth.
- Successful outcomes depend critically on surgical technique and timing.
- Cleft palate patients represent a specific indication for this procedure.
Purpose:
- To review the indications and contraindications for autogenous tooth transplantation.
- To present clinical cases of tooth transplantation in cleft palate patients.
- To evaluate the efficacy of cryopreservation for tooth transplantation.
Summary:
- Properly executed autogenous tooth transplantation achieves a 90% success rate, sustained for up to 40 years.
- Optimal timing involves root formation between 50% and 75%.
- Cryopreservation of teeth, even post-pulp removal, supports successful pulp tissue regeneration after transplantation.
Impact:
- Highlights the long-term efficacy and predictability of autogenous tooth transplantation.
- Provides evidence supporting cryopreservation as a method to preserve teeth for transplantation.
- Offers insights into managing complex cases like tooth transplantation in alveolar clefts.