Autotransplantation of immature third molars into edentulous and atrophied jaw sections.
Identifieur interne : 001429 ( Ncbi/Checkpoint ); précédent : 001428; suivant : 001430Autotransplantation of immature third molars into edentulous and atrophied jaw sections.
Auteurs : O. Bauss [Allemagne] ; W. Engelke ; C. Fenske ; R. Schilke ; R. Schwestka-PollySource :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2004.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Alvéole dentaire (), Attelles parodontales, Dent de sagesse (croissance et développement), Dent de sagesse (transplantation), Femelle, Germe dentaire (transplantation), Humains, Mobilité dentaire, Mâchoire partiellement édentée (), Mâle, Nécrose pulpaire (étiologie), Ostéotomie (), Ostéotomie (effets indésirables), Racine dentaire (croissance et développement), Reconstruction de crête alvéolaire (), Reconstruction de crête alvéolaire (effets indésirables), Rhizalyse (étiologie), Résorption alvéolaire (), Résultat thérapeutique, Transplantation autologue (), Transplantation osseuse.
- MESH :
- croissance et développement : Dent de sagesse, Racine dentaire.
- effets indésirables : Ostéotomie, Reconstruction de crête alvéolaire.
- étiologie : Dent de sagesse, Germe dentaire, Nécrose pulpaire, Rhizalyse.
- Adolescent, Adulte, Alvéole dentaire, Attelles parodontales, Femelle, Humains, Mobilité dentaire, Mâchoire partiellement édentée, Mâle, Ostéotomie, Reconstruction de crête alvéolaire, Résorption alvéolaire, Résultat thérapeutique, Transplantation autologue, Transplantation osseuse.
English descriptors
- KwdEn :
- Adolescent, Adult, Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (adverse effects), Alveolar Ridge Augmentation (methods), Bone Transplantation, Dental Pulp Necrosis (etiology), Female, Humans, Jaw, Edentulous, Partially (surgery), Male, Molar, Third (growth & development), Molar, Third (transplantation), Osteotomy (adverse effects), Osteotomy (methods), Periodontal Splints, Root Resorption (etiology), Tooth Germ (transplantation), Tooth Mobility, Tooth Root (growth & development), Tooth Socket (surgery), Transplantation, Autologous (methods), Treatment Outcome.
- MESH :
- adverse effects : Alveolar Ridge Augmentation, Osteotomy.
- etiology : Dental Pulp Necrosis, Root Resorption.
- growth & development : Molar, Third, Tooth Root.
- methods : Alveolar Ridge Augmentation, Osteotomy, Transplantation, Autologous.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Partially, Tooth Socket.
- transplantation : Molar, Third, Tooth Germ.
- Adolescent, Adult, Bone Transplantation, Female, Humans, Male, Periodontal Splints, Tooth Mobility, Treatment Outcome.
Abstract
The aim of the present study was to assess the results after transplantation of 85 immature third molars. Recipient site conditions varied and different surgical techniques were used. The long-term results after preparation of a new alveolus, splitting osteotomy of the alveolar process or use of free bone autografts were compared with the results after transplantation into a fresh extraction site (control group). Transplantations into prepared sockets showed equal results to the control group (94% respectively). Transplantations in connection with free bone autografts (84%) or after splitting osteotomy of the alveolar process (63%) showed poorer success rates, the differences between the latter and the control group being statistically significant. A possible correlation to revascularization disturbances of the pulp due to an insufficiency of the recipient site or to postoperative infection is suspected. The results show that transplantation of immature third molars is a safe, useful procedure when appropriate conditions of the recipient site are present. Where the alveolus is atrophic, a splitting osteotomy should be performed only in exceptional cases and preference should be given to alternative methods such as primary bone augmentation or bone-regenerative procedures.
DOI: 10.1016/j.ijom.2003.10.008
PubMed: 15308255
Affiliations:
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Bauss</name><affiliation wicri:level="3"><nlm:affiliation>Department of Orthodontics, Hannover Medical School, Hannover, Germany. bauss.oskar@mh-hannover.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Orthodontics, Hannover Medical School, Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author><author><name sortKey="Engelke, W" sort="Engelke, W" uniqKey="Engelke W" first="W" last="Engelke">W. Engelke</name></author><author><name sortKey="Fenske, C" sort="Fenske, C" uniqKey="Fenske C" first="C" last="Fenske">C. Fenske</name></author><author><name sortKey="Schilke, R" sort="Schilke, R" uniqKey="Schilke R" first="R" last="Schilke">R. Schilke</name></author><author><name sortKey="Schwestka Polly, R" sort="Schwestka Polly, R" uniqKey="Schwestka Polly R" first="R" last="Schwestka-Polly">R. Schwestka-Polly</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="ISSN">0901-5027</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Alveolar Bone Loss (surgery)</term><term>Alveolar Ridge Augmentation (adverse effects)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Bone Transplantation</term><term>Dental Pulp Necrosis (etiology)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Molar, Third (growth & development)</term><term>Molar, Third (transplantation)</term><term>Osteotomy (adverse effects)</term><term>Osteotomy (methods)</term><term>Periodontal Splints</term><term>Root Resorption (etiology)</term><term>Tooth Germ (transplantation)</term><term>Tooth Mobility</term><term>Tooth Root (growth & development)</term><term>Tooth Socket (surgery)</term><term>Transplantation, Autologous (methods)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Alvéole dentaire ()</term><term>Attelles parodontales</term><term>Dent de sagesse (croissance et développement)</term><term>Dent de sagesse (transplantation)</term><term>Femelle</term><term>Germe dentaire (transplantation)</term><term>Humains</term><term>Mobilité dentaire</term><term>Mâchoire partiellement édentée ()</term><term>Mâle</term><term>Nécrose pulpaire (étiologie)</term><term>Ostéotomie ()</term><term>Ostéotomie (effets indésirables)</term><term>Racine dentaire (croissance et développement)</term><term>Reconstruction de crête alvéolaire ()</term><term>Reconstruction de crête alvéolaire (effets indésirables)</term><term>Rhizalyse (étiologie)</term><term>Résorption alvéolaire ()</term><term>Résultat thérapeutique</term><term>Transplantation autologue ()</term><term>Transplantation osseuse</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Osteotomy</term></keywords><keywords scheme="MESH" qualifier="croissance et développement" xml:lang="fr"><term>Dent de sagesse</term><term>Racine dentaire</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Ostéotomie</term><term>Reconstruction de crête alvéolaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dental Pulp Necrosis</term><term>Root Resorption</term></keywords><keywords scheme="MESH" qualifier="growth & development" xml:lang="en"><term>Molar, Third</term><term>Tooth Root</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Osteotomy</term><term>Transplantation, Autologous</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous, Partially</term><term>Tooth Socket</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Molar, Third</term><term>Tooth Germ</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dent de sagesse</term><term>Germe dentaire</term><term>Nécrose pulpaire</term><term>Rhizalyse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Bone Transplantation</term><term>Female</term><term>Humans</term><term>Male</term><term>Periodontal Splints</term><term>Tooth Mobility</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Alvéole dentaire</term><term>Attelles parodontales</term><term>Femelle</term><term>Humains</term><term>Mobilité dentaire</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Ostéotomie</term><term>Reconstruction de crête alvéolaire</term><term>Résorption alvéolaire</term><term>Résultat thérapeutique</term><term>Transplantation autologue</term><term>Transplantation osseuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the present study was to assess the results after transplantation of 85 immature third molars. Recipient site conditions varied and different surgical techniques were used. The long-term results after preparation of a new alveolus, splitting osteotomy of the alveolar process or use of free bone autografts were compared with the results after transplantation into a fresh extraction site (control group). Transplantations into prepared sockets showed equal results to the control group (94% respectively). Transplantations in connection with free bone autografts (84%) or after splitting osteotomy of the alveolar process (63%) showed poorer success rates, the differences between the latter and the control group being statistically significant. A possible correlation to revascularization disturbances of the pulp due to an insufficiency of the recipient site or to postoperative infection is suspected. The results show that transplantation of immature third molars is a safe, useful procedure when appropriate conditions of the recipient site are present. Where the alveolus is atrophic, a splitting osteotomy should be performed only in exceptional cases and preference should be given to alternative methods such as primary bone augmentation or bone-regenerative procedures.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Basse-Saxe</li></region><settlement><li>Hanovre</li></settlement></list><tree><noCountry><name sortKey="Engelke, W" sort="Engelke, W" uniqKey="Engelke W" first="W" last="Engelke">W. Engelke</name><name sortKey="Fenske, C" sort="Fenske, C" uniqKey="Fenske C" first="C" last="Fenske">C. Fenske</name><name sortKey="Schilke, R" sort="Schilke, R" uniqKey="Schilke R" first="R" last="Schilke">R. Schilke</name><name sortKey="Schwestka Polly, R" sort="Schwestka Polly, R" uniqKey="Schwestka Polly R" first="R" last="Schwestka-Polly">R. Schwestka-Polly</name></noCountry><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Bauss, O" sort="Bauss, O" uniqKey="Bauss O" first="O" last="Bauss">O. Bauss</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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