Alveolar bone regeneration after transplantation of immature teeth in orthodontic patients.

IF 17.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Periodontology 2000 Pub Date : 2025-12-01 DOI:10.1111/prd.70023

E Czochrowska,P Plakwicz

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Abstract

The aim of the paper was to present the potential for alveolar bone regeneration following the autotransplantation of immature teeth, based on a literature review and case presentations. Surgical treatment planning for successful healing is discussed with regard to donor selection, the stage of root development, the morphology and position of the donor tooth and the size of the apical foramen. The follow-up observations include pulp healing, the regeneration of Herwig's epithelial root sheath and periodontal healing. Differences between unerupted and erupted teeth, as well as the role of a dental follicle during the surgical removal of the donor tooth were discussed. Additionally, the changes associated with tooth eruption and the role of the periodontal ligament (PDL) in promoting bone formation after the autotransplantation of immature teeth were described. By utilizing the natural healing capacity of the PDL, autotransplantation represents a valuable treatment option for restoring dentition and promoting alveolar bone regeneration in patients with missing teeth or dental anomalies. Clinical and radiological documentation, along with the treatment descriptions of three young orthodontic patients illustrate the concepts discussed provide clinical guidelines for the autotransplantation of immature teeth.

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正畸患者未成熟牙移植后的牙槽骨再生。

本文的目的是在文献回顾和病例报告的基础上，介绍未成熟牙齿自体移植后牙槽骨再生的潜力。手术治疗计划的成功愈合讨论有关供体的选择，根的发展阶段，形态和位置的供体牙和根尖孔的大小。随访观察包括牙髓愈合、Herwig上皮根鞘再生和牙周愈合。讨论了未出牙和出牙之间的差异，以及牙毛囊在手术切除供牙期间的作用。此外，本文还描述了未成熟牙齿自体移植后与牙齿萌出相关的变化以及牙周韧带（PDL）在促进骨形成中的作用。自体移植利用牙髓细胞的自然愈合能力，为牙列修复和促进牙槽骨再生提供了一种有价值的治疗选择。临床和影像学资料，以及三位年轻正畸患者的治疗描述说明了所讨论的概念，为未成熟牙齿的自体移植提供了临床指导。

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

Periodontology 2000 医学-牙科与口腔外科

CiteScore

34.10

自引率

2.20%

发文量

审稿时长

>12 weeks

期刊介绍： Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.