구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제39권1호
  • /
  • Pages.52-60
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  • 2023
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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개방 교합 환자에서 자가 이식된 치아의 재식

Replantation of autotransplanted mature third molar in anterior open bite patient: case report

  • 김희진 (고신대학교 의과대학 치과학교실)
  • Hee-Jin Kim (Department of Dentistry, College of Medicine, Kosin University)
  • 투고 : 2022.12.08
  • 심사 : 2023.01.19
  • 발행 : 2023.03.31
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초록

성숙된 치근을 갖는 제3대구치를 이용한 자가치아이식술은 효과적이며, 장기간 높은 성공률 보여주는 것으로 알려져 있다. 자가이식술 이후 생착 여부에 대해 경과 관찰하는 기간동안 치아가 심한 동요도를 보이는 경우, 이를 실패로 간주하고 발치를 하는 것이 일반적이다. 하지만, 이번 증례에서는, 자가치아 이식술 후 치아가 고정이 되지 않아, 구강 외로 탈락되었으나, 시기 적절히 재식을 시도하여 다시 생착을 획득하였고, 1년 이후까지도 성공적인 임상 결과를 보였다. 재식하였지만, 치근 흡수나 골소실도 보이지 않았다. 자가치아이식 후 교합적 문제로 고정을 보이지 않으나, 염증소견이 없는 치아라면 치조와에 재식하는 것이 발치에 앞선 대안이 될 수 있다.

Autotransplantation of third molars with completely formed roots is known to be effective and provide a high long-term success rate. However, in case of severe mobility or unexpectedly extraction is observed during the monitoring period after surgery, it is generally considered as a failure. This case report describes successful replantation of autotransplanted mature third molar into surgically created molar socket. 1 year follow up of transplanted tooth showed clinically normal periodontal pocket depth and tooth mobility. Root resorption or bone loss were not observed. Provided that there is no apparent sign of inflammation, re-insertion into socket is a viable alternative to immediate determination of extraction.

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참고문헌

  1. Ravi Kumar P, Jyothi M, Sirisha K, Racca K, Uma C. Autotransplantation of mandibular third molar: a case report. Case Rep Dent 2012;2012:629180. 
  2. Singh AK, Khanal N, Acharya N, Hasan MR, Saito T. What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses. Healthcare 2022;10:835. 
  3. Chung WC, Tu YK, Lin YH, Lu HK. Outcomes of autotransplanted teeth with complete root formation: a systematic review and meta-analysis. J Clin Periodontol 2014;41:412-23.  https://doi.org/10.1111/jcpe.12228
  4. Kim E, Jung JY, Cha IH, Kum KY, Lee SJ. Evaluation of the prognosis and causes of failure in 182 cases of autogenous tooth transplantation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:112-9.  https://doi.org/10.1016/j.tripleo.2004.09.007
  5. Abela S, Murtadha L, Bister D, Andiappan M, Kwok J. Survival probability of dental autotransplantation of 366 teeth over 34 years within a hospital setting in the United Kingdom. Eur J Orthod 2019;41:551-6.  https://doi.org/10.1093/ejo/cjz012
  6. Yu HJ, Jia P, Lv Z, Qiu LX. Autotransplantation of third molars with completely formed roots into surgically created sockets and fresh extraction sockets: a 10-year comparative study. Int J Oral Maxillofac Surg 2017;46:531-8.  https://doi.org/10.1016/j.ijom.2016.12.007
  7. Andreasen J, Paulsen HU, Yu Z, Schwartz O. A long-term study of 370 autotransplanted premolars. Part III. Periodontal healing subsequent to transplantation. Eur J Orthod 1990;12:25-37.  https://doi.org/10.1093/ejo/12.1.25
  8. Bauss O, Schilke R, Fenske C, Engelke W, Kiliaridis S. Autotransplantation of immature third molars: influence of different splinting methods and fixation periods. Dent Traumatol 2002;18:322-8.  https://doi.org/10.1034/j.1600-9657.2002.00147.x
  9. Andreasen JO. Relationship between surface and inflammatory resorption and changes in the pulp after replantation of permanent incisors in monkeys. J Endod 1981;7:294-301.  https://doi.org/10.1016/S0099-2399(81)80095-7
  10. Tsukiboshi M, Yamauchi N, Tsukiboshi Y. Long-term outcomes of autotransplantation of teeth: A case series. Dent Traumatol 2019;35:358-67.  https://doi.org/10.1111/edt.12495
  11. Craddock HL, Youngson CC. A study of the incidence of overeruption and occlusal interferences in unopposed posterior teeth. Br Dent J 2004;196:341-8.  https://doi.org/10.1038/sj.bdj.4811082
  12. Shugars DA, Bader JD, Phillips SW Jr, White BA, Brantley CF. The consequences of not replacing a missing posterior tooth. J Am Dent Assoc 2000;131:1317-23.  https://doi.org/10.14219/jada.archive.2000.0385
  13. Kitahara T, Nakasima A, Shiratsuchi Y. Orthognathic treatment with autotransplantation of impacted maxillary third molar. Angle Orthod 2009;79:401-6.  https://doi.org/10.2319/022008-103.1
  14. Baek MS, Choi YJ, Yu HS, Lee KJ, Kwak J, Park YC. Long-term stability of anterior open-bite treatment by intrusion of maxillary posterior teeth. Am J Orthod Dentofacial Orthop 2010;138:396. 
  15. Proffit WR, Field HW, Sarver DM. Contemporary Orthodontics. 5th ed. St. Louis; Mosby; 2013. 
  16. Janson G, Crepaldi MV, Freitas KM, de Freitas MR, Janson W. Stability of anterior open-bite treatment with occlusal adjustment. Am J Orthod Dentofacial Orthop 2010;138:14. 
  17. Andreasen JO. Experimental dental traumatology: development of a model for external root resorption. Endod Dent Traumatol 1987;3:269-87.  https://doi.org/10.1111/j.1600-9657.1987.tb00636.x
  18. Seo BM, Miura M, Gronthos S, Bartold PM, Batouli S, Brahim J, Young M, Robey PG, Wang CY, Shi S. Investigation of multipotent postnatal stem cells from human periodontal ligament. Lancet 2004;364:149-55.  https://doi.org/10.1016/S0140-6736(04)16627-0
  19. Tsukiboshi M, Yamauchi N, Tsukiboshi Y. Long-term outcomes of autotransplantation of teeth: A case series. Dent Traumatol 2019;35:358-67.  https://doi.org/10.1111/edt.12495
  20. Zhang J, Luo N, Miao D, Ying X, Chen Y. Intentional replantation of periodontally involved hopeless teeth: a case series study. Clin Oral Investig 2020;24:1769-77.  https://doi.org/10.1007/s00784-019-03039-z
  21. Yoshizawa M, Koyama T, Izumi N, Niimi K, Ono Y, Ajima H, Funayama A, Mikami T, Kobayashi T, Ono K, Takagi R, Saito C. Autotransplantation or replantation of cryopreserved teeth: a case series and literature review. Dent Traumatol 2014;30:71-5.  https://doi.org/10.1111/edt.12039
  22. Al-Khanati NM, Kara Beit Z. Reconsidering some standards in immediate autotransplantation of teeth: Case report with 2-year follow-up. Ann Med Surg (Lond) 2022;75:103470.