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Retrospective Follow-up Assessment of Risk Variables Influencing the Outcome of Autologous Tooth Transplantation.
Restrepo-Restrepo, Felipe A; Uribe-Jaramillo, Diego F; Villa-Machado, Paula A; Mejía-Cardona, José L; Abella-Sans, Francesc; Morales-Quezada, Reyna K; Tobón-Arroyave, Sergio I.
Afiliação
  • Restrepo-Restrepo FA; Graduate Endodontics Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia.
  • Uribe-Jaramillo DF; Graduate Oral and Maxillofacial Surgery Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia.
  • Villa-Machado PA; Graduate Endodontics Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia.
  • Mejía-Cardona JL; Graduate Endodontics Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia.
  • Abella-Sans F; Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain.
  • Morales-Quezada RK; Graduate Endodontics Program, Multidisciplinary Institute of Dental Specialties, Zapopan, México.
  • Tobón-Arroyave SI; Graduate Oral and Maxillofacial Surgery Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia. Electronic address: stobonarroyave@gmail.com.
J Endod ; 50(6): 747-757, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38442852
ABSTRACT

INTRODUCTION:

This retrospective study aimed to identify which patient-, donor tooth-, recipient site-, and surgical procedure-related variables may influence the outcome of tooth autotransplantation.

METHODS:

The sample included 128 autotransplants performed in 122 patients. Single-visit clinical/imaging examinations were used to define the outcome as successful, survival, or failure. The association of potential indicators with the survival or failure categories was analyzed individually and adjusted for confounders through multivariate logistic regression models.

RESULTS:

After a follow-up period of 1 to 30.11 years, success was achieved in 71.8% of autotransplants, whereas the survival and failure groups had rates of 14.1% each, and the grouped success/survival rate reached 85.9%. An extraoral time >15 minutes and difficult handling/placement were strong/independent risk covariates for survival and failure categories (odds ratio >1, P < .05). Additionally, unerupted/partially erupted status of the donor tooth was a significant indicator for survival, whereas deficient bone level at the recipient site, surgical extraction, poor initial stability, and lack of prophylactic antibiotics were independently linked to failure (odds ratio > 1, P < .05). The root morphology and socket status acted as modifiers of the effect of the recipient site location on the survival group (P > .05).

CONCLUSION:

Based on the results of this study, unerupted/partially erupted status of the donor tooth, surgical extraction, total extraoral time >15 minutes, deficient recipient's bone level, difficult handling/placement of the autotransplant, poor initial stability, and lack of prophylactic antibiotics during the surgical procedure must be considered with caution when performing autotransplantation because of their deleterious influence on the outcome.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dente / Transplante Autólogo Limite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Endod Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dente / Transplante Autólogo Limite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Endod Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Estados Unidos