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Computer-Guided Surgery Can Avoid Prophylactic Endodontic Treatment in Autologous Tooth Transplantation: A 5-Year
Luca Boschini1, Amerigo Giudice2, Michele Melillo3
1Dental Clinic, Ambulatorio Odontoiatrico Boschini, 47922 Rimini, Italy.
Dentistry Journal
|May 24, 2024
Summary
Computer-guided surgery enables successful tooth autotransplantation, preserving the periodontal ligament and minimizing extra-alveolar time. This approach avoids prophylactic root canal treatment, ensuring long-term healing and no complications.
Area of Science:
- Dentistry
- Oral Surgery
- Regenerative Medicine
Background:
- Tooth autotransplantation is a viable option for replacing compromised teeth.
- Traditional methods face challenges with complex root morphology and dense bone.
- Minimizing extra-alveolar time and preserving periodontal ligament are crucial for success.
Observation:
- A computer-guided surgical approach was used for mandibular third molar autotransplantation.
- Guided surgery templates facilitated precise recipient socket preparation.
- The donor tooth had minimal extra-alveolar time (approx. 1 second).
Findings:
- The guided surgery technique allowed atraumatic socket preparation.
- Successful autotransplantation was achieved without prophylactic endodontic treatment.
- Five-year follow-up showed no periapical lesions or root resorption.
Implications:
- Computer-guided surgery enhances precision and predictability in tooth autotransplantation.
- This technique supports a 'wait-and-see' approach for endodontic treatment.
- Minimizing extra-alveolar time is key to preserving tooth vitality post-transplantation.
