Autotransplantation of Developing Third Molar In Place Of Grossly Destructed First Molar â€“ A Clinical and Radiological Study: Autotransplantation of Developing Third Molar

Dr. Pankajakshi Bai K; Dr. Jayaprasad N Shetty

Authors

Dr. Pankajakshi Bai K
Dr. Jayaprasad N Shetty

Keywords:

Tooth transplantation, Autogenous tooth transplantation, Homologous tooth transplantation, Reimplantation

Abstract

Aims And Objectives: To evaluate the success rate of auto transplanted third molars. To consider the possibility of auto transplantation, in selected cases, as a good alternative to prosthodontic rehabilitation including implant insertion, when closing a gap in the dental arch. Materials And Methods: Ten patients of either sex with the age group between 15 to 19 years with developing third molars, having half or two third root development and simultaneously having first molar area in which the tooth is grossly destructed or heavily filled or which is indicated for extraction; with adequate bone support and which is free from acute infection and chronic inflammation are considered. The surgical procedure is performed under local anesthesia with strict aseptic measures. The transplanted tooth is stabilised with an open cap splint with coverage on the occlusal surface of the transplanted tooth. The splint is then secured in place by interdental wiring. Results: Out of 10 cases, clinically, all cases showed marked improvement and radiographically, one case exhibited replacement resorbtion and nine cases showed signs of continued root development but not much of root development was appreciable within one year duration. No abnormality was detected in relation to pulpal, periapical, periodontal conditions. All patients were able to carry out normal function over the transplanted area. Conclusion: Auto transplantation of teeth, when properly indicated and technically carried out with great care, will provide excellent results. It is worth consideration in any case in which there is suitable donor tooth available and so, in selected cases, this method should be preferred over prosthetic rehabilitation. [Pankajakshi K NJIRM 2014; 5(2) :119-126]

References

1. Kahnberg K.E. Autotransplantation of teeth; Indications for transplantation with a follow-up of 51 cases. Int. Jour. Of Oral & Max. Fac. Surg.1987; 16(5): 577-585.
2. Scott Cohen A, Schen T.C, Anthony Pogrel M. Transplanting teeth successfully: Autografts
and allografts that work. JADA 1995 Apr; 126(4): 481-485
3. Pogrel M. A. Evaluation of over 400 autogenous tooth transplants. J. Oral Max. Fac. Surg. 1987; 45: 205-211
4. Hale M. L. Autogenous transplants. Oral Surg. Oral Med. Oral Pathol. 1956; 9: 76-83
5. Clark H.B, Tam C.J, Mitchall D.F. Transplantation of developing teeth. J.Dental Research 1955; 322-328.
6. Kristersson L. Autotransplantation of human premolars, a clinical and radiographic study of 100 teeth. Int.Jour.Oral Surg.1985;14: 200-13
7. Andreasen J.O, Paulsen H.U, Yu Z, Bayer T, Schwartz O. A long term study of 370 autotransplanted premolars. Part II. Tooh survival and pulp healing subsequent to transplantation. Eur. J.Orthod. 1990; 12(1): 14-24.
8. Andreasen J.O, Paulsen H.U, Yu Z, Schwartz O. A long term study of 370 autotransplanted premolars. Part III. Periodontal healing subsequent to transplantation.. Eur. J.Orthod. 1990; 12(1): 25-37.
9. Schendel K U, Schwartz O ,Andreasen J.O,Hoffmeister B. Reinnervation of autotransplanted teeth. A histological investigation in monkeys. Int. J. Oral & Mxillofacial Surg. 1990;19: 247-249.
10. Schatz J. P, Joho J.P. Long term clinical and radiological evaluation of autotransplanted teeth. . Int.jour.of Oral & Max. Fac. Surg.1992 Oct; 21(5): 271-275
11. Schatz J.P, Joho J.P. A clinical and radiological study of autotransplanted impacted canine. . Int.Jour.of Oral & Max. Fac. Surg.1993 Dec; 22(6): 342-346
12. Andreasen J.O, Borum M.K, Jacobsen H. L, Andreasen F. M. Replantation of 400 avulsed permanent incisors & factors related to pulp healing. Endod. Dent. Traumatol. 1995 Apr; 11(2): 59-68
13. Andreasen J O, Borum M K, Jacobsen H L, Andreasen F M..Replantation of 400 avulsed permanent incisors. 3. Factors related to tooth growth. Endod. Dent. Traumatol. 1995 Apr;11(2):69-75.
14. Paulsen H. U, Andreasen J.O, Schwart Z. O. Pulp and periodontal healing, root development and root desorption subsequent to transplantationand orthodontic rotation: a long term study of autotransplanted premolars. Am. J. Orthod. Dentofacial Orthop. 1995 Dec; 108(6): 630-40.
15. Lunderberg T, Isaksson S. A clinical follow-up study of 278 autotransplanted teeth. Bri. Jour.of Oral & Max. Fac. Surg. 1996; 34: 181-185.
16. Akiyama Y, Fukuda H, Hashimoto K. A clinical and radiographic study of 25 autotransplanted third molars. J. Oral Rehabil. 1998 Aug; 25(8): 640-4
17. Thomas S, Turner S.R, Sandy J.R. Autotransplantation: is there a role? Bri.Jour of Orthod. 1998 Nov; 25(4): 275-82
18. Cameron M.L, Clokie, Deirdre M. Yau, Laura Chano. Autogenous tooth transplantation: an alternative to dental implant placement? J. Can. Dent. Assoc.2001; 67: 92-6.
19. Paulsen H.U, X-Q S, Welandehir U, Huggare J, Scheutz F. Eruption pattern of autotransplanted premolars visualized by radiographic color-coding. Am. Jour. Of Orthod. and Dentofac. Orthoped.2001 Apr; 119(4): 338-345.
20. Oskar Bauss, Reinhard Schlk, Christian Fenske, Werner Engelke, Staros Kiliaridis. Autotransplantation of immature third molars: influence of different splinting methods and fixation periods. Dental traumatology. 2002 Dec; 18(6): 322
21. Bauss O, Sadat-Khonsari R, Engleke W, Kahl-Nieke B. Results of transplanting developing third molars as part of orthodontic space management Part-I: Clinical and radiographic results.J. Orofac.Ortho.2002 Nov; 63(6): 483-92
22. Waikakul A, Kasetsuwan J, Punwutikorn J. Response of autotransplanted teeth to electric pulp testing. Oral Surg. Oral Med. Oral Pathol. Oral Radiol Endod. 2002 Aug; 94(2):249-55
23. Schwartz O, Bergmann P, Klausen B. Autotransplantation of human teeth. A life table analysis of prognostic factors. Int. J. Oral. Surg.1985; 14: 245-58
24. Andreasen J. O, Hjorting-Hansen. The effect of splinting upon periodontal healing after replantation of permanent incisors in monkeys. Acta odontol. Scand. 1975;33: 313-323.
25. Hall G. H , Read P.C. Root resorption associated with autotransplanted maxillary canine teeth. Br. Jour. Oral . surg. 1983; 21: 179-191.
26. Moss J. P. The indication of the transplantation of maxillary canine in the light of 100 cases. Br. Jour. Oral surg. 1975; 12: 268-274.
27. Lowinie J F, Cleaton Jones P. E, Fatti P, Lownie M. A. Autotransplantation of maxillary canine teeth- a followup of 35 cases up to four years. Int. J. Oral. Maxillofac. Surg. 1986; 15: 282-287
28. Skogland A. Changes in reimplanted and autotransplanted apicectomised mature teeth in dogs. Int. J. Oral Surg. 1981;10:111-121.
29. Skogland A, Trostad L, Wallenius K. A micro-angiographic study of vascular changes in reimplanted and autotransplanted teeth of young dogs. Oral Surg. Oral Med. Oral Pathol. 1978; 45: 17-28.
30. Skogland A. Vascular changes in reimplanted and autotransplanted apicectomised mature teeth in dogs Int. J. Oral. Surg. 1981; 10: 100-110.
31. Kristersson L. Autotransplantation of teeth: influence of different factors on periodontal and pulpal healing. Thesis. (odont) Dr. Karolinska Institute 1985;31
32. Cserespfalvi M. Clinical report of homotransplantations. JADA 1963; 67: 35-40.
33. Mezwow R.R. Homologous viable tooth transplantation. A clinical immunological and histological study. Oral Surg. Oral Med. Oral Pathol. 1964; 375-388.
34. Hansen J.C.B, Fiback Bent. Clinical experience of auto and allotransplantation of teeth. Int. Dent. J.1972;270-285.

Autotransplantation of Developing Third Molar In Place Of Grossly Destructed First Molar â€“ A Clinical and Radiological Study