Combined application of artificial bone powders and concentrated growth factor membranes on the autotransplantation of mature third molars: A 5-year retrospective case series

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology Pub Date : 2024-06-10 DOI:10.1111/edt.12974

Ailimaierdan Ainiwaer, Maimaitituxun Tuerdi, Zulikamaier Zuolipahaer, Ling Wang

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引用次数: 0

Abstract

Aim

This study aimed to observe the efficacy and outcomes of the combined application of artificial bone powder and concentrated growth factor (CGF) membranes for tooth transplantation in cases with wide recipient sockets and small donor teeth.

Material and Methods

A total of 36 teeth from 36 patients with wide recipient sockets and small donor teeth were enrolled. Autogenous tooth transplantation was performed using bone powders and CGF membranes. After transplantation, the visual analog scale (VAS) score, Landry Wound Healing Index, probing depth (PD), mobility, and gray value of the alveolar bone around the transplanted teeth were measured, and a patient satisfaction questionnaire was administered. All patients underwent clinical and radiographic examinations during follow-up.

Results

The VAS score of 16 (44.4%) cases after 1 week was 0, and 26 (72.2%) patients showed excellent gingival healing after 2–4 weeks. The PD of a few cases was deeper than 3 mm during the first month; however, returned to normal after 3 months. Although the majority of the transplanted teeth possessed mobility greater than grade I during the first month, the mobility gradually improved within 3 months. The gray value of the alveolar bone around the transplanted teeth, 1 year postoperatively showed no difference with pre-operation (p > .05). During the mean follow-up period of 42.7 months (range 20–72 months), 33 of the 36 transplanted teeth remained in situ without clinical or radiographic complications, with an overall success rate of 91.7%.

Conclusions

Although the PD and mobility of the transplanted teeth were not ideal during the early stages of healing, most of the transplanted teeth had good clinical outcomes. In cases with large recipient sites accompanied by small donor teeth, autotransplantation of teeth using artificial bone powder combined with CGF membranes is a viable option and can lead to optimistic results with favorable success rates.

查看原文本刊更多论文

人工骨粉和浓缩生长因子膜在成熟第三磨牙自体移植中的联合应用：五年回顾性病例系列。

目的：本研究旨在观察人工骨粉和浓缩生长因子（CGF）膜联合应用于宽受体牙槽窝和小供体牙齿移植的疗效和结果：材料和方法：共选取了 36 名患者的 36 颗牙齿，这些患者的受体牙槽宽而供体牙齿小。使用骨粉和 CGF 膜进行自体牙齿移植。移植后，测量了移植牙齿周围牙槽骨的视觉模拟量表（VAS）评分、Landry伤口愈合指数、探查深度（PD）、活动度和灰度值，并进行了患者满意度问卷调查。所有患者在随访期间均接受了临床和放射学检查：16例（44.4%）患者在一周后的VAS评分为0，26例（72.2%）患者在2-4周后牙龈愈合良好。少数病例在第一个月内的PD深度超过3毫米，但在3个月后恢复正常。虽然大多数移植牙在第一个月的活动度大于 I 级，但在 3 个月内活动度逐渐改善。术后 1 年，移植牙齿周围牙槽骨的灰度值与术前无差异（P > .05）。在平均42.7个月（20-72个月）的随访期间，36颗移植牙中有33颗保持原位，未出现临床或影像学并发症，总体成功率为91.7%：虽然在愈合初期，移植牙齿的PD和活动度并不理想，但大多数移植牙齿的临床效果良好。对于受体部位大而供体牙齿小的病例，使用人工骨粉结合CGF膜进行牙齿自体移植是一种可行的选择，并能带来乐观的结果和良好的成功率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.