Success predictive factors of teeth subjected to autotransplant: An umbrella review

Q3 Dentistry

Saudi Endodontic Journal Pub Date : 2024-05-01 DOI:10.4103/sej.sej_166_23

Eliana Pineda-Vélez, Anny M. Vivares, Jocelyne Valeria Casillas-Castillo

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引用次数: 0

Abstract

A dental autotransplant is a controlled case of dental avulsion based on the transplantation of erupted teeth within the same individual, from one place to another, in sites where an extraction was performed or that were surgically prepared. Autotransplantation has become a viable method to replace lost teeth since transplanted teeth may operate as fully normal teeth. The objective of this study was to summarize the available scientific evidence regarding predictors of success in autotransplanted teeth. A systematic review of systematic reviews, known as an umbrella review, was performed. Two calibrated and standardized investigators independently analyzed the quality using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline and evaluated the confidence level and bias review with the Amstar-2 guideline. The PubMed, Embase, and Scopus databases were used. The search was conducted in August 2022 and updated on March 22, 2023. Systematic reviews or meta-analyses carried out from publications on human beings, between 2017 and 2022, were included. From 104 achieved, 4 systematic reviews and meta-analyses were assessed. The overall survival of autotransplanted teeth ranged from 81% to 98%, the prevalence of overall inflammatory root resorption ranged from 2.1% to 43%, and the prevalence of ankylosis ranged from 1.2% to 43%. Predictive factors for success identified in the literature included tooth type or root development and clinical intervention factors, including socket preparation, splinting, occlusion control, antibiotic regimen, treatment time of endodontics, and orthodontic treatment. The existing evidence on autotransplanted teeth in humans indicates that the survival rate of such teeth involves a series of presurgical and surgical variables. Analyses of factors associated with complications or failures still require primary studies where associations may be made to draw more solid conclusions.

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自体移植牙齿的成功预测因素：综述

牙科自体移植是一种可控的牙齿脱落病例，它是将同一人的萌出牙齿从一个地方移植到另一个地方，移植的部位是进行过拔牙或手术准备过的地方。由于移植后的牙齿可以像完全正常的牙齿一样活动，因此自体移植已成为替代脱落牙齿的一种可行方法。本研究的目的是总结现有的科学证据，预测自体移植牙齿的成功率。研究人员对系统综述进行了系统性回顾，即所谓的 "总括综述"。两名经过校准和标准化的调查人员使用《系统综述和元分析首选报告项目》指南对质量进行了独立分析，并使用《Amstar-2》指南对置信度和偏差综述进行了评估。研究使用了 PubMed、Embase 和 Scopus 数据库。检索于 2022 年 8 月进行，并于 2023 年 3 月 22 日更新。纳入的系统综述或荟萃分析均来自 2017 年至 2022 年间有关人类的出版物。从104项研究中，评估了4项系统综述和荟萃分析。自体移植牙齿的总体存活率从81%到98%不等，总体炎性牙根吸收率从2.1%到43%不等，强直率从1.2%到43%不等。文献中确定的成功预测因素包括牙齿类型或牙根发育情况以及临床干预因素，包括牙槽窝预备、夹板、咬合控制、抗生素方案、牙髓治疗时间和正畸治疗。关于人类自体移植牙齿的现有证据表明，此类牙齿的存活率涉及一系列手术前和手术中的变量。要分析与并发症或失败相关的因素，仍需要进行初级研究，通过关联研究得出更可靠的结论。

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来源期刊

Saudi Endodontic Journal Dentistry-Dentistry (all)

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

32 weeks

期刊介绍： Vision SEJ aims to be one of the foremost worldwide periodical on Endodontics, dedicated to the promotion of research, post-graduate training and further education in Endodontics. Mission Statement To serve as a medium for continued Endodontic education and qualitative scientific publications on clinical trials, basic science related to the biological aspects of Endodontics, basic science related to Endodontic techniques as well as dental trauma that will ultimately improve the Endodontic research and patient’s health. Scope In this journal, Endodontists, Endodontic postgraduate students and general dentists, can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation that help them keep pace with rapid changes in this field. Aims and Objectives To publish cut edge peer-review original articles, case reports, letters to the editor, editorials, review articles, commentaries, and innovations that will impact on Endodontics. To enhance exchange of ideas/information relating to Endodontics and interaction among stakeholders. To encourage networking and partnership between individuals, government and non-governmental organizations for the provision of quality health care. To advocate for training, workshops, seminars, scientific manuscript writing conferences that will advance publishing culture.