New complementary alternatives in third molar autotransplantation: A systematic review

Aravena-Salazar, Juan Pablo; Matus-Miranda, Gustavo; Dethlefs-Canto, Jessika; Niklander, Sven Eric

Abstract

Background: Dental autotransplantation (DAT) is defined as the replacement or direct transfer of an impacted, semi-impacted or erupted tooth to a donor site, either to a post-extraction socket or to a surgically created socket within the same individual. The use of new technological advances, such as 3-D dental models based on computer-aided design, among others, have been reported to improve the success rate of DAT. Therefore, we aimed to perform a systematic review to explore the possible benefits that the use of these innovative techniques can provide when applied to DAT. Material and Methods: The literature search was conducted in PubMed, Scopus, and Web of Science databases following the PRISMA guidelines. The research question was: "Are computerized technological advancements a useful tool for improving the success of third molar autotransplantation technique? Results: The initial literature search identified 195 articles, of which only 11 were included for qualitative analysis. All studies used 3D dental models based on computer-aided design data. Surgical guides and stereolithographic models were used by 4 and 1 study respectively. A total of 91 transplanted teeth were evaluated, out of which only 88 were considered within the parameters of clinical success (96.7%). Only 7 out of the 11 articles reported the specific autotransplanted tooth, being mandibular third molars the most prevalent autotransplanted teeth. Conclusions: Although the application of new technologies for DAT increases the success rate of this technique, further primary studies are still needed to address long-term teeth survival rates and complications. The cost and availability to implement the integration of these techniques to DAT may be a variable to consider, as this can be a limitation for some patients or for low-income countries.

Más información

Título según WOS: New complementary alternatives in third molar autotransplantation: A systematic review
Título de la Revista: MEDICINA ORAL PATOLOGIA ORAL Y CIRUGIA BUCAL
Volumen: 29
Número: 2
Editorial: Medicina Oral S.L.
Fecha de publicación: 2024
Página de inicio: e241
Página final: e247
DOI:

10.4317/medoral.26233

Notas: ISI