Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Autotransplantation in Pediatric Dentistry: Factors Affecting Treatment Outcomes

  • Sungjoon Chung (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Hyuntae Kim (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Ji-Soo Song (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Teo Jeon Shin (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Hong-Keun Hyun (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Young-Jae Kim (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Jung-Wook Kim (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Ki-Taeg Jang (Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University)
  • Received : 2024.06.07
  • Accepted : 2024.07.18
  • Published : 2024.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

This research aimed to evaluate the outcomes of autotransplantation in both children and adolescents, with a focus on root growth, and determine the clinical and radiographic factors associated with the success rate. In this study, 73 teeth, autogenously transplanted in 63 patients, were examined over an observation period of 3.2 years on average. The mean age at the time of autotransplantation was 11.9 years. Based on the radiographic criteria, the success rate was 73.97% and the survival rate was 100%. Based on the radiographic criteria, the success rate was 73.97%, and the survival rate was 100%. A significant increase in root length was observed in the transplanted teeth with an open apex. An association was found between the success rate and use of bone graft and surgeon experience. In conclusion, greater clinical experience in autotransplantation (> 36 cases) and prohibiting the use of bone grafts may improve the prognosis of the transplanted teeth in children and adolescents.

Keywords

References

  1. Thilander H, Thilander B, Persson G : Treatment of impacted teeth by surgical exposure. A survey study. Swed Tandlak Tidskr, 66:519-525, 1973. 
  2. Shah RM, Boyd MA, Vakil TF : Studies of permanent tooth anomalies in 7,886 Canadian individuals. I: impacted teeth. Dent J, 44:262-264, 1978. 
  3. Dachi SF, Howell FV : A survey of 3,874 routine full-mouth radiographs. II. A study of impacted teeth. Oral Surg Oral Med Oral Pathol, 14:1165-1169, 1961.  https://doi.org/10.1016/0030-4220(61)90204-3
  4. Bucher K, Neumann C, Thiering E, Hickel R, Kuhnisch J : Complications and survival rates of teeth after dental trauma over a 5-year period. Clin Oral Investig, 17:1311-1318, 2013.  https://doi.org/10.1007/s00784-012-0817-y
  5. Lee HS, Kim SH, Kim SO, Lee JH, Choi HJ, Jung HS, Song JS : A new type of dental anomaly: molar-incisor malformation (MIM). Oral Surg Oral Med Oral Pathol Oral Radiol, 118:101-109.E3, 2014.  https://doi.org/10.1016/j.oooo.2014.03.014
  6. Waldon K, Barber SK, Spencer RJ, Duggal MS : Indications for the use of auto-transplantation of teeth in the child and adolescent. Eur Arch Paediatr Dent, 13:210-216, 2012.  https://doi.org/10.1007/BF03262872
  7. Czochrowska EM, Stenvik A, Album B, Zachrisson BU : Autotransplantation of premolars to replace maxillary incisors: a comparison with natural incisors. Am J Orthod Dentofacial Orthop, 118:592-600, 2000.  https://doi.org/10.1067/mod.2000.110521
  8. Hjortdal O, Bragelien J : Induction of jaw bone formation by tooth autotransplantation. Nor Tannlaegeforen Tid, 88:319-322, 1978. 
  9. Almpani K, Papageorgiou SN, Papadopoulos MA : Autotransplantation of teeth in humans: a systematic review and meta-analysis. Clin Oral Investig, 19:1157-1179, 2015.  https://doi.org/10.1007/s00784-015-1473-9
  10. Lundberg T, Isaksson S : A clinical follow-up study of 278 autotransplanted teeth. Br J Oral Maxillofac Surg, 34:181-185, 1996.  https://doi.org/10.1016/S0266-4356(96)90374-5
  11. Kallu R, Vinckier F, Politis C, Mwalili S, Willems G : Tooth transplantations: a descriptive retrospective study. Int J Oral Maxillofac Surg, 34:745-755, 2005.  https://doi.org/10.1016/j.ijom.2005.03.009
  12. Joseph I, Varma BR, Bhat KM : Clinical significance of furcation anatomy of the maxillary first premolar: a biometric study on extracted teeth. J Periodontol, 67:386-389, 1996.  https://doi.org/10.1902/jop.1996.67.4.386
  13. Park JH, Tai K, Hayashi D : Tooth autotransplantation as a treatment option: a review. J Clin Pediatr Dent, 35:129-135, 2010.  https://doi.org/10.17796/jcpd.35.2.97816254u2140x88
  14. Kim Y, Hyun HK, Jang KT : The position of maxillary canine impactions and the influenced factors to adjacent root resorption in the Korean population. Eur J Orthod, 34:302-306, 2012.  https://doi.org/10.1093/ejo/cjr002
  15. Barber SK, Kenny K, Czochrowska E, Plakwicz P, Houghton NY, Day PF : Identifying important prognostic factors and outcomes for autotransplantation of developing teeth: Clinicians' perspectives. Dent Traumatol, 39(Suppl 1):30-39, 2023. 
  16. Denys D, Shahbazian M, Jacobs R, Laenen A, Wyatt J, Vinckier F, Willems G : Importance of root development in autotransplantations: a retrospective study of 137 teeth with a follow-up period varying from 1 week to 14 years. Eur J Orthod, 35:680-688, 2013.  https://doi.org/10.1093/ejo/cjs112
  17. Schwartz O, Bergmann P, Klausen B : Autotransplantation of human teeth: a life-table analysis of prognostic factors. Int J Oral Surg, 14:245-258, 1985.  https://doi.org/10.1016/S0300-9785(85)80036-3
  18. Kvint S, Lindsten R, Magnusson A, Nilsson P, Bjerklin K : Autotransplantation of teeth in 215 patients: a follow-up study. Angle Orthod, 80:446-451, 2010.  https://doi.org/10.2319/062509-354.1
  19. Demirjian A, Goldstein H : New systems for dental maturity based on seven and four teeth. Ann Hum Biol, 3:411-421, 1976.  https://doi.org/10.1080/03014467600001671
  20. Almonaitiene R, Balciuniene I, Tutkuviene J : Factors influencing permanent teeth eruption. Part one - general factors. Stomatologija, 12:67-72, 2010. 
  21. Kokai S, Kanno Z, Koike S, Uesugi S, Takahashi Y, Ono T, Soma K : Retrospective study of 100 autotransplanted teeth with complete root formation and subsequent orthodontic treatment. Am J Orthod Dentofacial Orthop, 148:982-989, 2015.  https://doi.org/10.1016/j.ajodo.2015.06.018
  22. Czochrowska EM, Stenvik A, Bjercke B, Zachrisson BU : Outcome of tooth transplantation: survival and success rates 17-41 years posttreatment. Am J Orthod Dentofacial Orthop, 121:110-119, 2002.  https://doi.org/10.1067/mod.2002.119979
  23. Andreasen JO, Paulsen HU, Yu Z, Schwartz O : A long-term study of 370 autotransplanted premolars. Part III. Periodontal healing subsequent to transplantation. Eur J Orthod, 12:25-37, 1990.  https://doi.org/10.1093/ejo/12.1.25
  24. Hamamoto Y, Hamamoto N, Izumi K, Kobayashi T, Nakajima T, Mohri T, Hanada K : Relationship between recipient condition and periodontal healing of autotransplanted teeth. Jpn J Oral Maxillofac Surg, 43:733-738, 1997.  https://doi.org/10.5794/jjoms.43.733
  25. Czochrowska EM, Stenvik A, Zachrisson BU : The esthetic outcome of autotransplanted premolars replacing maxillary incisors. Dent Traumatol, 18:237-245, 2002.  https://doi.org/10.1034/j.1600-9657.2002.00094.x
  26. van Westerveld KJ, Verweij JP, Fiocco M, Mensink G, van Merkesteyn JPR : Root elongation after autotransplantation in 58 transplanted premolars: the radiographic width of the apex as a predictor. J Oral Maxillofac Surg, 77:1351-1357, 2019.  https://doi.org/10.1016/j.joms.2019.02.019
  27. Plakwicz P, Wojtowicz A, Czochrowska EM : Survival and success rates of autotransplanted premolars: a prospective study of the protocol for developing teeth. Am J Orthod Dentofacial Orthop, 144:229-237, 2013.  https://doi.org/10.1016/j.ajodo.2013.03.019
  28. Andreasen JO, Paulsen HU, Yu Z, Bayer T, Schwartz O : A long-term study of 370 autotransplanted premolars. Part II. Tooth survival and pulp healing subsequent to transplantation. Eur J Orthod, 12:14-24, 1990.  https://doi.org/10.1093/ejo/12.1.14
  29. Gonnissen H, Politis C, Schepers S, Lambrichts I, Vrielinck L, Sun Y, Schuermans J : Long-term success and survival rates of autogenously transplanted canines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 110:570-578, 2010.  https://doi.org/10.1016/j.tripleo.2010.02.039
  30. Kramer RM, Williams AC : The incidence of impacted teeth: A survey at Harlem Hospital. Oral Surg Oral Med Oral Pathol, 29:237-241, 1970.  https://doi.org/10.1016/0030-4220(70)90091-5
  31. Ericson S, Kurol J : Radiographlc assessment of maxillary canine eruption in children with clinical signs of eruption disturbance. Eur J Orthod, 8:133-140, 1986.  https://doi.org/10.1093/ejo/8.3.133
  32. Moss JP : The unerupted canine. Dent Pract Dent Rec, 22:241-248, 1972. 
  33. Svardstrom G, Wennstrom JL : Prevalence of furcation involvements in patients referred for periodontal treatment. J Clin Periodontol, 23:1093-1099, 1996.  https://doi.org/10.1111/j.1600-051X.1996.tb01809.x
  34. Grisar K, Piccart F, Al-Rimawi AS, Basso I, Politis C, Jacobs R : Three-dimensional position of impacted maxillary canines: Prevalence, associated pathology and introduction to a new classification system. Clin Exp Dent Res, 5:19-25, 2019.  https://doi.org/10.1002/cre2.151
  35. Lovgren ML, Dahl O, Uribe P, Ransjo M, Westerlund A : Prevalence of impacted maxillary canines - an epidemiological study in a region with systematically implemented interceptive treatment. Eur J Orthod, 41:454-459, 2019.  https://doi.org/10.1093/ejo/cjz056
  36. Oliver RG, Mannion JE, Robinson JM : Morphology of the maxillary lateral incisor in cases of unilateral impaction of the maxillary canine. Br J Orthod, 16:9-16, 1989.  https://doi.org/10.1179/bjo.16.1.9
  37. Zhong Y, Zeng X, Jia Q, Zhang W, Chen L : Clinical investigation of impacted maxillary canine. Zhonghua Kou Qiang Yi Xue Za Zhi, 41:483-485, 2006. 
  38. Sagne S, Thilander B : Transalveolar transplantation of maxillary canines: A critical evaluation of a clinical procedure. Acta Odontol Scand, 55:1-8, 1997.  https://doi.org/10.3109/00016359709091932
  39. Schatz JP, Joho JP : Indications of autotransplantation of teeth in orthodontic problem cases. Am J Orthod Dentofacial Orthop, 106:351-357, 1994.  https://doi.org/10.1016/S0889-5406(94)70055-9
  40. Kim DH, Hyun HK, Kim YJ, Jang KT : Prognostic Factors Influencing Survival and Success Rates of Autotransplanted Maxillary Canine. J Korean Acad Pediatr Dent, 44:317-326, 2017.  https://doi.org/10.5933/JKAPD.2017.44.3.317
  41. Marks Jr SC, Schroeder HE : Tooth eruption: theories and facts. Anat Rec, 245:374-393, 1996.  https://doi.org/10.1002/(SICI)1097-0185(199606)245:2<374::AID-AR18>3.0.CO;2-M
  42. Andreasen JO, Paulsen HU, Yu Z, Bayer T : A long-term study of 370 autotransplanted premolars. Part IV. Root development subsequent to transplantation. Eur J Orthod, 12:38-50, 1990.  https://doi.org/10.1093/ejo/12.1.38
  43. Slagsvold O, Bjercke B : Autotransplantation of premolars with partly formed roots. A radiographic study of root growth. Am J Orthod, 66:355-366, 1974.  https://doi.org/10.1016/0002-9416(74)90046-3
  44. Kristerson L : Autotransplantation of human premolars. A clinical and radiographic study of 100 teeth. Int J Oral Surg, 14:200-213, 1985.  https://doi.org/10.1016/S0300-9785(85)80093-4
  45. Topouzelis N, Tsaousoglou P, Pisoka V, Zouloumis L : Dilaceration of maxillary central incisor: a literature review. Dent Traumatol, 26:427-433, 2010.  https://doi.org/10.1111/j.1600-9657.2010.00915.x
  46. Henklein SD, Kuchler EC, Proff P, Lepri CP, Baratto-Filho F, Mattos NHR, Hueb de Menezes FC, Kirschneck C, Madalena IR, Hueb de Menezes-Oliveira MA : Prevalence and local causes for retention of primary teeth and the associated delayed permanent tooth eruption. J Orofac Orthop, 85(Suppl 1):73-78, 2024. 
  47. Ooshima T, Ishida R, Mishima K, Sobue S : The prevalence of developmental anomalies of teeth and their association with tooth size in the primary and permanent dentitions of 1650 Japanese children. Int J Paediatr Dent, 6:87-94, 1996.  https://doi.org/10.1111/j.1365-263X.1996.tb00218.x
  48. Gianelly AA : Leeway space and the resolution of crowding in the mixed dentition. Semin Orthod, 1:188-194, 1995.  https://doi.org/10.1016/S1073-8746(95)80022-0
  49. Aslan BI, ucuncu N, Dogan A : Long-term follow-up of a patient with multiple congenitally missing teeth treated with autotransplantation and orthodontics. Angle Orthod, 80:396-404, 2010.  https://doi.org/10.2319/033109-184.1
  50. Zachrisson BU, Stenvik A, Haanaes HR : Management of missing maxillary anterior teeth with emphasis on autotransplantation. Am J Orthod Dentofacial Orthop, 126:284-288, 2004.  https://doi.org/10.1016/S0889-5406(04)00524-4
  51. Fujita K, Kanno Z, Otsubo K, Soma K : Autotransplantation combined with orthodontic treatment in adult patients. Orthod Waves, 67:128-134, 2008.  https://doi.org/10.1016/j.odw.2008.02.003
  52. Tsukiboshi M : Autotransplantation of teeth: requirements for predictable success. Dent Traumatol, 18:157-180, 2002.  https://doi.org/10.1034/j.1600-9657.2002.00118.x
  53. Paulsen HU, Andreasen JO, Schwartz O : Pulp and periodontal healing, root development and root resorption subsequent to transplantation and orthodontic rotation: a long-term study of autotransplanted premolars. Am J Orthod Dentofacial Orthop, 108:630-640, 1995.  https://doi.org/10.1016/S0889-5406(95)70009-9
  54. Lucas-Taule E, Bofarull-Ballus A, Llaquet M, Mercade M, Hernandez-Alfaro F, Gargallo-Albiol J : Does root development status affect the outcome of tooth autotransplantation? A systematic review and meta-analysis. Materials, 15:3379, 2022. 
  55. Jun SH, Park CJ, Hwang SH, Lee YK, Zhou C, Jang HS, Ryu JJ : The influence of bone graft procedures on primary stability and bone change of implants placed in fresh extraction sockets. Maxillofac Plast Reconstr Surg, 40:8, 2018. 
  56. Suwanapong T, Waikakul A, Boonsiriseth K, Ruangsawasdi N : Pre-and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites. BMC Oral Health, 21:325, 2021. 
  57. Bauss O, Engelke W, Fenske C, Schilke R, Schwestka-Polly R : Autotransplantation of immature third molars into edentulous and atrophied jaw sections. Int J Oral Maxillofac Surg, 33:558-563, 2004.  https://doi.org/10.1016/j.ijom.2003.10.008
  58. Miura K, Yoshida M, Asahina I : Secondary bone grafting with simultaneous auto-tooth transplantation to the alveolar cleft. J Oral Maxillofac Surg, 73:1050-1057, 2015.  https://doi.org/10.1016/j.joms.2015.01.004
  59. Jakobsen C, Stokbro K, Kier-Swiatecka E, Ingerslev J, Thorn J : Autotransplantation of premolars: does surgeon experience matter? Int J Oral Maxillofac Surg, 47:1604-1608, 2018.  https://doi.org/10.1016/j.ijom.2018.08.003
  60. Mine K, Kanno Z, Muramoto T, Soma K : Occlusal forces promote periodontal healing of transplanted teeth and prevent dentoalveolar ankylosis: an experimental study in rats. Angle Orthod, 75:637-644, 2005. 
  61. Kim E, Eo MY, Nguyen TTH, Yang HJ, Myoung H, Kim SM : Spontaneous bone regeneration after surgical extraction of a horizontally impacted mandibular third molar: a retrospective panoramic radiograph analysis. Maxillofac Plast Reconstr Surg, 41:4, 2019. 
  62. Chiapasco M, Rossi A, Motta JJ, Crescentini M : Spontaneous bone regeneration after enucleation of large mandibular cysts: a radiographic computed analysis of 27 consecutive cases. J Oral Maxillofac Surg, 58:942-948, 2000.  https://doi.org/10.1053/joms.2000.8732
  63. Andreasen JO, Kristerson L : The effect of limited drying or removal of the periodontal ligament. Periodontal healing after replantation of mature permanent incisors in monkeys. Acta Odontol Scand, 39:1-13, 1981.  https://doi.org/10.3109/00016358109162253
  64. Sobczak-Zagalska H, Emerich K : Best Splinting Methods in Case of Dental Injury - A Literature Review. J Clin Pediatr Dent, 44:71-78, 2020.  https://doi.org/10.17796/1053-4625-44.2.1
  65. Stramotas S, Geenty JP, Darendeliler MA, Byloff F, Berger J, Petocz P : The reliability of crown-root ratio, linear and angular measurements on panoramic radiographs. Clin Orthod Res, 3:182-191, 2000. https://doi.org/10.1034/j.1600-0544.2000.030404.x