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Effect of additional surgical procedures on root development of transplanted immature third molars.

Identifieur interne : 002227 ( Ncbi/Checkpoint ); précédent : 002226; suivant : 002228

Effect of additional surgical procedures on root development of transplanted immature third molars.

Auteurs : Oskar Bauss [Allemagne] ; Ioannis Zonios ; Werner Engelke

Source :

RBID : pubmed:18562174

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English descriptors

Abstract

The aim of this investigation was to determine the influence of additional surgical procedures on the root development of transplanted teeth. The study sample consisted of 90 immature third molars transplanted in 88 patients. All transplanted teeth were at root development stages 3 to 4. Free bone autografts were used in 23 cases (bone autograft group), mainly because of vertical atrophy of the alveolar process. A splitting osteotomy of the alveolar process was performed in 25 cases with marked horizontal atrophy (osteotomy group). Forty-two teeth transplanted into a fresh extraction site immediately after extraction of the non-retainable tooth served as controls. At root development stage 3, significant differences were determined between the osteotomy and the control groups in final root length (P<0.001) and root length increment (P=0.004). Transplants in the osteotomy group revealed a significantly lower root length increment than transplants in the bone autograft group (P=0.008). No significant intergroup differences were observed at root development stage 4. These results indicate that a splitting osteotomy of the alveolar process has a negative effect on root development of transplanted teeth at earlier developmental stages.

DOI: 10.1016/j.ijom.2008.05.003
PubMed: 18562174


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pubmed:18562174

Le document en format XML

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<term>Alveolectomy (methods)</term>
<term>Atrophy</term>
<term>Bone Transplantation</term>
<term>Epithelium (blood supply)</term>
<term>Epithelium (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Molar, Third (blood supply)</term>
<term>Molar, Third (transplantation)</term>
<term>Osteotomy (adverse effects)</term>
<term>Periodontal Ligament (blood supply)</term>
<term>Periodontal Ligament (surgery)</term>
<term>Tooth Root (growth & development)</term>
<term>Tooth Root (transplantation)</term>
<term>Tooth Socket (surgery)</term>
<term>Transplantation, Autologous</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<term>Adolescent</term>
<term>Alvéole dentaire ()</term>
<term>Alvéolectomie ()</term>
<term>Atrophie</term>
<term>Dent de sagesse ()</term>
<term>Dent de sagesse (transplantation)</term>
<term>Desmodonte ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Ostéotomie (effets indésirables)</term>
<term>Processus alvéolaire ()</term>
<term>Processus alvéolaire (anatomopathologie)</term>
<term>Racine dentaire (croissance et développement)</term>
<term>Racine dentaire (transplantation)</term>
<term>Résultat thérapeutique</term>
<term>Survie du greffon</term>
<term>Transplantation autologue</term>
<term>Transplantation osseuse</term>
<term>Épithélium ()</term>
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<term>Periodontal Ligament</term>
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<term>Dent de sagesse</term>
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<term>Survie du greffon</term>
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<div type="abstract" xml:lang="en">The aim of this investigation was to determine the influence of additional surgical procedures on the root development of transplanted teeth. The study sample consisted of 90 immature third molars transplanted in 88 patients. All transplanted teeth were at root development stages 3 to 4. Free bone autografts were used in 23 cases (bone autograft group), mainly because of vertical atrophy of the alveolar process. A splitting osteotomy of the alveolar process was performed in 25 cases with marked horizontal atrophy (osteotomy group). Forty-two teeth transplanted into a fresh extraction site immediately after extraction of the non-retainable tooth served as controls. At root development stage 3, significant differences were determined between the osteotomy and the control groups in final root length (P<0.001) and root length increment (P=0.004). Transplants in the osteotomy group revealed a significantly lower root length increment than transplants in the bone autograft group (P=0.008). No significant intergroup differences were observed at root development stage 4. These results indicate that a splitting osteotomy of the alveolar process has a negative effect on root development of transplanted teeth at earlier developmental stages.</div>
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