Computer-guided surgery can avoid prophylactic endodontic treatment in autologous tooth transplantation: a 5-year follow-up case report
Author
Abella Sans, Francesc
Publication date
2024ISSN
2304-6767
Abstract
Autotransplantation is a successful technique to replace compromised teeth. This study presents a computer-guided surgical approach for preparing the receiving socket for a mature mandibular third molar donor tooth with a wait-and-see approach instead of prophylactic endodontic treatment. A 42-year-old woman developed root resorption of tooth 3.7. Extraction of 3.7 and autotransplantation of 3.8 was planned, following a 6-week orthodontic phase for periodontal ligament activation and teeth mobilization. Due to the different root morphology between the compromised and donor teeth and the high mandibular bone density, the receiving socket preparation was performed using guided surgery templates. Two surgical splints were designed with a surgical planning software. Tooth 3.7 was extracted, the recipient site was guided-milled, and tooth 3.8 was transplanted into the new socket in approximately one second of extra-alveolar time. The rapidity of the extra-alveolar time facilitated complete healing without resorting to root canal treatment. Five-year radiological control does not show any periapical lesion or root resorption. The surgical procedure for tooth autotransplantation is fundamental: it must be as atraumatic as possible to preserve the periodontal ligament of the tooth and the receiving socket, and the dentist must minimize the extra-alveolar time. Guided surgery is a reliable solution to combine all these aspects.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
616.3 - Pathology of the digestive system. Complaints of the alimentary canal
Keywords
Cirurgia guiada per ordinador
Tractament del conducte radicular
Tercer molar
Autotrasplantament dental
Cirugía guiada por computadora
Tratamiento de conducto
Tercer molar
Autotrasplante de dientes
Computer-guided surgery
Root canal treatment
Third molar
Tooth autotransplantation
Pages
9
Publisher
MDPI
Collection
12;5
Is part of
Dentistry Journal
Citation
Boschini, Luca; Giudice, Mario; Melillo, Michele [et al.]. Computer-guided surgery can avoid prophylactic endodontic treatment in autologous tooth transplantation: a 5-year follow-up case report. Dentistry Journal, 2024, 12(5), 124. Disponible en: <https://www.mdpi.com/2304-6767/12/5/124>. Fecha de acceso: 10 jun. 2024. DOI: 10.3390/dj12050124
This item appears in the following Collection(s)
- Odontologia [239]
Rights
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/