Autogenous transalveolar transplantation of maxillary canines: a systematic review and meta-analysis
Identifieur interne : 000465 ( Main/Exploration ); précédent : 000464; suivant : 000466Autogenous transalveolar transplantation of maxillary canines: a systematic review and meta-analysis
Auteurs : Koenraad Grisar [Belgique] ; Dorra Chaabouni [Belgique, Tunisie] ; Lesly Paola Gaitan Romero [Belgique] ; Thomas Vandendriessche [Belgique] ; Constantinus Politis [Belgique] ; Reinhilde Jacobs [Belgique, Suède]Source :
- The European Journal of Orthodontics [ 0141-5387 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- chirurgie : Dent enclavée, Maxillaire.
- transplantation : Canine, Dentisterie esthétique, Humains, Résultat thérapeutique, Transplantation autologue.
English descriptors
- KwdEn :
- MESH :
- surgery : Maxilla, Tooth, Impacted.
- transplantation : Cuspid.
- Esthetics, Dental, Humans, Transplantation, Autologous, Treatment Outcome.
Abstract
The objective was to systematically review transalveolar transplantation of maxillary canines and the long-term outcome for an average follow-up period of 2 years or more.
A systematic review of the currently available literature until December 2017 was conducted, using Medline, Cochrane Central, Web off Science, and PubMed. Articles were screened for 1. indications, 2. contra-indications, 3. surgical planning, 4. surgical technique, 5. associated risk factors, and 6. long-term outcome for transalveolar transplantation of maxillary canines with the following outcome measures: bone-related outcomes, tooth-related outcomes, soft tissue-related outcomes, and aesthetic outcome measures. Descriptive statistics, as well as a quality assessment of included articles, were performed. Following study retrieval and selection, relevant data was extracted and the risk of bias was assessed using the Methodological index for non-randomized studies (MINORS).
Twelve articles were included in this review. These studies included outcome data for 783 autotransplanted maxillary canines, with long-term studies indicating a clinically acceptable overall outcome.
Since the lack of randomized controlled trials considering this topic, the quality of the evidence in the present review is considered low. However, impacted maxillary canines are a rare anomaly and different aspects, such as position of the impacted canine, patient’s age and patient’s demands, and expectancies must be taken into account, it is practically impossible to randomize treatment.
There is sufficient evidence to justify the transalveolar transplantation of maxillary canines as a legitimate treatment technique for impacted maxillary canines deemed difficult to treat with surgical exposure and subsequent orthodontic alignment. Long-term studies have shown that a good overall outcome is to be expected. There is no clear agreement in the literature on the indications and contra-indications for transalveolar transplantation of maxillary canines.
It is highly desirable that further research on this issue be undertaken, high-quality observational studies are recommended.
PROSPERO (CRD42017056348)
Url:
DOI: 10.1093/ejo/cjy026
PubMed: 29860316
PubMed Central: 6265659
Affiliations:
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transalveolar transplantation of maxillary canines: a systematic review and meta-analysis</title><author><name sortKey="Grisar, Koenraad" sort="Grisar, Koenraad" uniqKey="Grisar K" first="Koenraad" last="Grisar">Koenraad Grisar</name><affiliation wicri:level="1"><nlm:aff id="AF0001">OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospitals Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Chaabouni, Dorra" sort="Chaabouni, Dorra" uniqKey="Chaabouni D" first="Dorra" last="Chaabouni">Dorra Chaabouni</name><affiliation wicri:level="1"><nlm:aff id="AF0001">OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospitals Leuven</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0003">Department of Radiology, University Dental Clinic, Monastir, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Department of Radiology, University Dental Clinic, Monastir</wicri:regionArea></affiliation></author><author><name sortKey="Romero, Lesly Paola Gaitan" sort="Romero, Lesly Paola Gaitan" uniqKey="Romero L" first="Lesly Paola Gaitan" last="Romero">Lesly Paola Gaitan Romero</name><affiliation wicri:level="1"><nlm:aff id="AF0001">OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospitals Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Vandendriessche, Thomas" sort="Vandendriessche, Thomas" uniqKey="Vandendriessche T" first="Thomas" last="Vandendriessche">Thomas Vandendriessche</name><affiliation wicri:level="1"><nlm:aff id="AF0004">KU Leuven Libraries – 2Bergen – Learning Centre Désiré Collen, Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Libraries – 2Bergen – Learning Centre Désiré Collen, Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Politis, Constantinus" sort="Politis, Constantinus" uniqKey="Politis C" first="Constantinus" last="Politis">Constantinus Politis</name><affiliation wicri:level="1"><nlm:aff id="AF0001">OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospitals Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name><affiliation wicri:level="1"><nlm:aff id="AF0001">OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University Leuven</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospitals Leuven</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0005">Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Dental Medicine, Karolinska Institutet, Stockholm</wicri:regionArea></affiliation></author></analytic><series><title level="j">The European Journal of Orthodontics</title><idno type="ISSN">0141-5387</idno><idno type="eISSN">1460-2210</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cuspid (transplantation)</term><term>Esthetics, Dental (MeSH)</term><term>Humans (MeSH)</term><term>Maxilla (surgery)</term><term>Tooth, Impacted (surgery)</term><term>Transplantation, Autologous (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Canine (transplantation)</term><term>Dent enclavée (chirurgie)</term><term>Dentisterie esthétique (MeSH)</term><term>Humains (MeSH)</term><term>Maxillaire (chirurgie)</term><term>Résultat thérapeutique (MeSH)</term><term>Transplantation autologue (MeSH)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Dent enclavée</term><term>Maxillaire</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxilla</term><term>Tooth, Impacted</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Cuspid</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Esthetics, Dental</term><term>Humans</term><term>Transplantation, Autologous</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="fr"><term>Canine</term><term>Dentisterie esthétique</term><term>Humains</term><term>Résultat thérapeutique</term><term>Transplantation autologue</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec id="s1"><title>Background and objectives</title><p>The objective was to systematically review transalveolar transplantation of maxillary canines and the long-term outcome for an average follow-up period of 2 years or more.</p></sec><sec id="s2"><title>Data collection and analysis</title><p>A systematic review of the currently available literature until December 2017 was conducted, using Medline, Cochrane Central, Web off Science, and PubMed. Articles were screened for 1. indications, 2. contra-indications, 3. surgical planning, 4. surgical technique, 5. associated risk factors, and 6. long-term outcome for transalveolar transplantation of maxillary canines with the following outcome measures: bone-related outcomes, tooth-related outcomes, soft tissue-related outcomes, and aesthetic outcome measures. Descriptive statistics, as well as a quality assessment of included articles, were performed. Following study retrieval and selection, relevant data was extracted and the risk of bias was assessed using the Methodological index for non-randomized studies (MINORS).</p></sec><sec id="s3"><title>Results</title><p>Twelve articles were included in this review. These studies included outcome data for 783 autotransplanted maxillary canines, with long-term studies indicating a clinically acceptable overall outcome.</p></sec><sec id="s4"><title>Limitations</title><p>Since the lack of randomized controlled trials considering this topic, the quality of the evidence in the present review is considered low. However, impacted maxillary canines are a rare anomaly and different aspects, such as position of the impacted canine, patient’s age and patient’s demands, and expectancies must be taken into account, it is practically impossible to randomize treatment.</p></sec><sec id="s5"><title>Conclusions</title><p>There is sufficient evidence to justify the transalveolar transplantation of maxillary canines as a legitimate treatment technique for impacted maxillary canines deemed difficult to treat with surgical exposure and subsequent orthodontic alignment. Long-term studies have shown that a good overall outcome is to be expected. There is no clear agreement in the literature on the indications and contra-indications for transalveolar transplantation of maxillary canines.</p></sec><sec id="s6"><title>Implication of key findings</title><p>It is highly desirable that further research on this issue be undertaken, high-quality observational studies are recommended.</p></sec><sec id="s7"><title>Registration</title><p>PROSPERO (CRD42017056348)</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kokich, V G" uniqKey="Kokich V">V.G Kokich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grover, P S" uniqKey="Grover P">P.S. 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Díaz</name></author><author><name sortKey="Olate, S" uniqKey="Olate S">S. Olate</name></author><author><name sortKey="Zaror, C" uniqKey="Zaror C">C Zaror</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murtadha, L" uniqKey="Murtadha L">L. Murtadha</name></author><author><name sortKey="Kwok, J" uniqKey="Kwok J">J Kwok</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fuss, Z" uniqKey="Fuss Z">Z. Fuss</name></author><author><name sortKey="Tsesis, I" uniqKey="Tsesis I">I. Tsesis</name></author><author><name sortKey="Lin, S" uniqKey="Lin S">S Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paulsen, H U" uniqKey="Paulsen H">H.U. Paulsen</name></author><author><name sortKey="Andreasen, J O" uniqKey="Andreasen J">J.O. Andreasen</name></author><author><name sortKey="Schwartz, O" uniqKey="Schwartz O">O Schwartz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tsukiboshi, M" uniqKey="Tsukiboshi M">M Tsukiboshi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Suède</li><li>Tunisie</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Grisar, Koenraad" sort="Grisar, Koenraad" uniqKey="Grisar K" first="Koenraad" last="Grisar">Koenraad Grisar</name></noRegion><name sortKey="Chaabouni, Dorra" sort="Chaabouni, Dorra" uniqKey="Chaabouni D" first="Dorra" last="Chaabouni">Dorra Chaabouni</name><name sortKey="Chaabouni, Dorra" sort="Chaabouni, Dorra" uniqKey="Chaabouni D" first="Dorra" last="Chaabouni">Dorra Chaabouni</name><name sortKey="Grisar, Koenraad" sort="Grisar, Koenraad" uniqKey="Grisar K" first="Koenraad" last="Grisar">Koenraad Grisar</name><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name><name sortKey="Politis, Constantinus" sort="Politis, Constantinus" uniqKey="Politis C" first="Constantinus" last="Politis">Constantinus Politis</name><name sortKey="Politis, Constantinus" sort="Politis, Constantinus" uniqKey="Politis C" first="Constantinus" last="Politis">Constantinus Politis</name><name sortKey="Romero, Lesly Paola Gaitan" sort="Romero, Lesly Paola Gaitan" uniqKey="Romero L" first="Lesly Paola Gaitan" last="Romero">Lesly Paola Gaitan Romero</name><name sortKey="Romero, Lesly Paola Gaitan" sort="Romero, Lesly Paola Gaitan" uniqKey="Romero L" first="Lesly Paola Gaitan" last="Romero">Lesly Paola Gaitan Romero</name><name sortKey="Vandendriessche, Thomas" sort="Vandendriessche, Thomas" uniqKey="Vandendriessche T" first="Thomas" last="Vandendriessche">Thomas Vandendriessche</name></country><country name="Tunisie"><noRegion><name sortKey="Chaabouni, Dorra" sort="Chaabouni, Dorra" uniqKey="Chaabouni D" first="Dorra" last="Chaabouni">Dorra Chaabouni</name></noRegion></country><country name="Suède"><noRegion><name sortKey="Jacobs, Reinhilde" sort="Jacobs, Reinhilde" uniqKey="Jacobs R" first="Reinhilde" last="Jacobs">Reinhilde Jacobs</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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