Long-term outcomes 1–20 years after autotransplantation of teeth: clinical and radiographic evaluation of 66 premolars and 8 molars

Publication date: Available online 23 June 2019Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): K.J.H. van Westerveld, J.P. Verweij, E.E. Toxopeus, M. Fiocco, G. Mensink, J.P.R. van MerkesteynAbstractIn this retrospective study we investigated the long-term survival of autotransplanted premolars and molars with incompletely developed roots. The presence of the transplanted teeth and their outcome after autotransplantation was ascertained from clinical and radiographic evaluation by a maxillofacial surgeon or dentist. Kaplan Meier survival curves were estimated for the total population and for the two groups (premolars and molars).Fifty-one patients with 74 transplanted teeth were included, and the median duration of follow-up was 10 (range 1–20) years. Four of 66 premolars and one of 8 molars were removed and the cumulative survival was 95.4% (95% CI 90.3 to 100). The difference in survival between the premolars and molars was not significant. These results show that the long-term survival of autotransplanted teeth is good. Replacement of a single tooth by autotransplantation should therefore always be considered and is preferred when a suitable donor tooth is available.

Source: British Journal of Oral and Maxillofacial Surgery - June 24, 2019 Category: ENT & OMF Source Type: research