Autotransplantation of immature third molars into edentulous and atrophied jaw sections
Identifieur interne : 000153 ( PascalFrancis/Curation ); précédent : 000152; suivant : 000154Autotransplantation of immature third molars into edentulous and atrophied jaw sections
Auteurs : O. Bauss [Allemagne] ; W. Engelke [Allemagne] ; C. Fenske [Allemagne] ; R. Schilke [Allemagne] ; R. Schwestka-Polly [Allemagne]Source :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2004.
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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.
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Bauss</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, General Hospital Minden</s1><s2>Minden</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Orthodontics, Hannover Medical School</s1><s2>Hannover</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Engelke, W" sort="Engelke, W" uniqKey="Engelke W" first="W." last="Engelke">W. Engelke</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, General Hospital Minden</s1><s2>Minden</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Fenske, C" sort="Fenske, C" uniqKey="Fenske C" first="C." last="Fenske">C. Fenske</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Prosthodontics, University of Hamburg</s1><s2>Hamburg</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Schilke, R" sort="Schilke, R" uniqKey="Schilke R" first="R." last="Schilke">R. Schilke</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Conservative Dentistry and Periodontology, Hannover Medical School</s1><s2>Hannover</s2><s3>DEU</s3><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Schwestka Polly, R" sort="Schwestka Polly, R" uniqKey="Schwestka Polly R" first="R." last="Schwestka-Polly">R. Schwestka-Polly</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Orthodontics, Hannover Medical School</s1><s2>Hannover</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author></analytic><series><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Autotransplantation</term><term>Human</term><term>Jaw</term><term>Revascularization</term><term>Section</term><term>Stomatology</term><term>Surgery</term><term>Third molar tooth</term><term>Tooth</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Homme</term><term>Autotransplantation</term><term>Chirurgie</term><term>Troisième molaire</term><term>Mâchoire</term><term>Section</term><term>Dent</term><term>Revascularisation</term><term>Stomatologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Chirurgie</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. 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