Fully guided system for position-predictable autotransplantation of teeth: A randomized clinical trial

IF 5.4 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International endodontic journal Pub Date : 2025-01-27 DOI:10.1111/iej.14193

Yongqi Li, Zhiyan Lin, Yudong Liu, Guangwei Chen, Chengwei Li, Huilin Wu, Xuelian Wang, Ye Liu, Minyi Kuang, Libin Zhou

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引用次数: 0

Abstract

Aim

Autotransplantation of teeth (ATT) is a viable biological method for addressing dental defects. The objective was to achieve occlusal reconstruction-orientated ATT to enhance functionality and obtain optimal location and adjacency. This study proposes a new concept of a guide (a fully guided system) to achieve position-predictable ATT.

Methodology

This study included 30 transplants in 29 patients who were randomly divided into two groups during the initial examination using a single-blind method. The experimental group comprised 15 transplants in 14 patients who underwent surgery using a fully guided system. Fifteen transplants were performed on 15 patients in the control group using only a replica.

Results

The mean number of repeated teeth autotransplantation attempts and mean preparation time exhibited no significant differences. The mean follow-up period was 1 year. Twenty-six transplants were followed up clinically, while four were only followed up by phone calls. The experimental group demonstrated a 100% success rate, whereas the control group exhibited a 70% success rate, with an overall 100% survival rate. 3D analysis: Deviation of both angle and distance was calculated for evaluation of accuracy. The mean centre deviation of teeth in experiment group was 0.79 mm (95% confidence interval [CI], 0.51–1.08) compared to 1.79 mm (95% CI, 1.10–2.47) in control group (p < .05). The mean of average index points distance deviation showed a significant difference. The mean angle deviation of long axis in experiment group was 3.87° (95% CI, 2.25–5.49) compared to 12.98° (95% CI, 8.64–17.31) in control group (p < .05). The angle deviation of long axis in mesio-distal direction, buccal-lingual direction and rotation showed a significant difference also.

Conclusions

The results of the analysis indicated that the fully guided system increased the predictability of achieving an ideal transplant position with intuitive data, establishing a solid foundation for optimal dental functional recovery and restoration. However, this study had limitations regarding the generalisability of the design of the optimal location for transplantation and the equipment requirements for clinical procedures. Therefore, further research on the screening of indications for guided systems and location planning is necessary.

Clinical Trial Registration

This study was registered on the Chinese Clinical Trial Registry (Registration Number: ChiCTR 2300074646).

查看原文本刊更多论文

位置可预测自体牙移植的全引导系统：一项随机临床试验。

目的：自体牙移植是修复牙齿缺损的一种可行的生物学方法。目的是实现以咬合重建为导向的ATT，以增强功能并获得最佳位置和邻接。本研究提出了一种新的引导（全引导系统）的概念，以实现位置可预测的at。方法：本研究包括29例患者的30例移植，在初始检查时采用单盲方法随机分为两组。实验组包括14名患者的15例移植，他们接受了完全引导系统的手术。在对照组的15名患者身上进行了15次移植手术，只使用了一个复制品。结果：自体牙移植的平均重复次数和平均准备时间差异无统计学意义。平均随访时间为1年。26例移植手术进行了临床随访，4例仅通过电话随访。实验组的成功率为100%，而对照组的成功率为70%，总体存活率为100%。三维分析：计算角度和距离的偏差，以评估精度。实验组的平均中心偏差为0.79 mm(95%可信区间[CI]， 0.51 ~ 1.08)，对照组的平均中心偏差为1.79 mm (95% CI, 1.10 ~ 2.47) (p)。结论：分析结果表明，全引导系统以直观的数据提高了实现理想移植位置的可预测性，为最佳的牙功能恢复和修复奠定了坚实的基础。然而，本研究在移植最佳位置设计的通用性和临床程序的设备要求方面存在局限性。因此，有必要进一步研究引导系统的适应症筛选和选址规划。临床试验注册：本研究在中国临床试验注册中心注册（注册号：ChiCTR 2300074646）。

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

International endodontic journal 医学-牙科与口腔外科

CiteScore

10.20

自引率

28.00%

发文量

195

审稿时长

4-8 weeks

期刊介绍： The International Endodontic Journal is published monthly and strives to publish original articles of the highest quality to disseminate scientific and clinical knowledge; all manuscripts are subjected to peer review. Original scientific articles are published in the areas of biomedical science, applied materials science, bioengineering, epidemiology and social science relevant to endodontic disease and its management, and to the restoration of root-treated teeth. In addition, review articles, reports of clinical cases, book reviews, summaries and abstracts of scientific meetings and news items are accepted. The International Endodontic Journal is essential reading for general dental practitioners, specialist endodontists, research, scientists and dental teachers.