Computer-guided surgery can avoid prophylactic endodontic treatment in autologous tooth transplantation: a 5-year follow-up case report
Autor/a
Abella Sans, Francesc
Fecha de publicación
2024ISSN
2304-6767
Resumen
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.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
Inglés
Materias (CDU)
616.3 - Patología del aparato digestivo. Odontología
Palabras clave
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
Páginas
9
Publicado por
MDPI
Colección
12;5
Publicado en
Dentistry Journal
Citación
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
Este ítem aparece en la(s) siguiente(s) colección(ones)
- Odontologia [239]
Derechos
© 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/).
Excepto si se señala otra cosa, la licencia del ítem se describe como https://creativecommons.org/licenses/by/4.0/