Autogenous Transplantation of Maxillary and Mandibular Molars
Identifieur interne : 006646 ( Main/Merge ); précédent : 006645; suivant : 006647Autogenous Transplantation of Maxillary and Mandibular Molars
Auteurs : Peter P. ReichSource :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
Purpose: Autogenous tooth transplantation has been used as a predictable surgical approach to correct malocclusion and replace edentulous areas. This article focuses on the surgical approach and technique for molar transplantation. Patients and Methods: Thirty-two patients aged between 11 and 25 years underwent 44 autogenous molar transplantations. The procedure involved transplantation of impacted or newly erupted third molars into the extraction sockets of nonrestorable molars and surgical removal and replacement of horizontally impacted molars into their proper vertical alignment. Five basic procedural concepts were applied: 1) atraumatic extraction, avoiding disruption of the root sheath and root buds; 2) apical contouring of bone at the transplantation site and maxillary sinus lift via the Summers osteotome technique, when indicated, for maxillary molars; 3) preparation of a 4-wall bony socket; 4) avoidance of premature occlusal interferences; and 5) stabilization of the tooth with placement of a basket suture. Results: All 32 patients successfully underwent the planned procedure. To date, 2 patients have had localized infection that resulted in loss of the transplant. The remaining 42 transplants remain asymptomatic and functioning, with a mean follow-up period of 19 months. No infection, ankylosis, loss of the transplant, or root resorption has been noted. In addition, endodontic therapy has not been necessary on any transplanted teeth. Conclusions: Autogenous tooth transplantation has been discussed and described in the literature previously, with a primary focus on cuspid and bicuspid transplantation. The molar transplant is infrequently discussed in today's literature, possibly because of the preponderance of titanium dental implants. Autogenous molar transplantation is a viable procedure with low morbidity and excellent functional and esthetic outcomes. This report shows the successful transplantation of 42 of 44 molars in 32 patients with a mean follow-up period of 19 months.
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Pascal:08-0518027Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Autogenous Transplantation of Maxillary and Mandibular Molars</title><author><name sortKey="Reich, Peter P" sort="Reich, Peter P" uniqKey="Reich P" first="Peter P." last="Reich">Peter P. Reich</name><affiliation><wicri:noCountry>no AF</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0518027</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0518027 INIST</idno><idno type="RBID">Pascal:08-0518027</idno><idno type="wicri:Area/PascalFrancis/Corpus">000333</idno><idno type="wicri:Area/PascalFrancis/Curation">000370</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000374</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000374</idno><idno type="wicri:doubleKey">0278-2391:2008:Reich P:autogenous:transplantation:of</idno><idno type="wicri:Area/Main/Merge">006646</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Autogenous Transplantation of Maxillary and Mandibular Molars</title><author><name sortKey="Reich, Peter P" sort="Reich, Peter P" uniqKey="Reich P" first="Peter P." last="Reich">Peter P. Reich</name><affiliation><wicri:noCountry>no AF</wicri:noCountry></affiliation></author></analytic><series><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Mandible</term><term>Maxillary</term><term>Molar tooth</term><term>Stomatology</term><term>Surgery</term><term>Transplantation</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie</term><term>Transplantation</term><term>Maxillaire</term><term>Mandibule</term><term>Molaire</term><term>Stomatologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: Autogenous tooth transplantation has been used as a predictable surgical approach to correct malocclusion and replace edentulous areas. This article focuses on the surgical approach and technique for molar transplantation. Patients and Methods: Thirty-two patients aged between 11 and 25 years underwent 44 autogenous molar transplantations. The procedure involved transplantation of impacted or newly erupted third molars into the extraction sockets of nonrestorable molars and surgical removal and replacement of horizontally impacted molars into their proper vertical alignment. Five basic procedural concepts were applied: 1) atraumatic extraction, avoiding disruption of the root sheath and root buds; 2) apical contouring of bone at the transplantation site and maxillary sinus lift via the Summers osteotome technique, when indicated, for maxillary molars; 3) preparation of a 4-wall bony socket; 4) avoidance of premature occlusal interferences; and 5) stabilization of the tooth with placement of a basket suture. Results: All 32 patients successfully underwent the planned procedure. To date, 2 patients have had localized infection that resulted in loss of the transplant. The remaining 42 transplants remain asymptomatic and functioning, with a mean follow-up period of 19 months. No infection, ankylosis, loss of the transplant, or root resorption has been noted. In addition, endodontic therapy has not been necessary on any transplanted teeth. Conclusions: Autogenous tooth transplantation has been discussed and described in the literature previously, with a primary focus on cuspid and bicuspid transplantation. The molar transplant is infrequently discussed in today's literature, possibly because of the preponderance of titanium dental implants. Autogenous molar transplantation is a viable procedure with low morbidity and excellent functional and esthetic outcomes. This report shows the successful transplantation of 42 of 44 molars in 32 patients with a mean follow-up period of 19 months.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Reich, Peter P" sort="Reich, Peter P" uniqKey="Reich P" first="Peter P." last="Reich">Peter P. Reich</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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