67 - Dental autotransplantation in cleft lip and palate patients: a narrative review with systematic steps

Abstract

Cleft lip and palate (CLP) are congenital anomalies with high prevalence in both the Brazilian and global populations. These conditions have a multifactorial etiology, and their treatment requires a multidisciplinary approach involving physicians, dentists, psychologists, nutritionists, and speech therapists, as they affect anatomy, speech, swallowing, and social interaction. Various types of clefts exist, some extending to the alveolar ridge, which may be associated with congenital tooth agenesis, impacting both function and aesthetics. Agenesis is the most common dental anomaly in patients with CLP, necessitating traditional orthodontic treatment, such as upper tooth movement and, occasionally, extractions in the lower arch, to achieve proper occlusion. An alternative approach is the use of dental autotransplantation to replace missing teeth, particularly when extractions (often of premolars) are indicated, providing a potential donor tooth. This study aims to review the outcomes of dental autotransplantation in the rehabilitation of CLP patients through a narrative review with systematic steps. A comprehensive search of the PubMed database yielded 341 articles, and as a result, 12 met the eligibility criteria. Data extraction, qualification and/or risk of bias, and analysis of the articles were performed to address the research question. The average success rate, considering the stability, vitality preservation, and absence of complications of the transplanted tooth, was 89.4% in the selected articles. Most of them were case reports, although comparative observational studies were also included. It is expected that this review will inform and encourage professionals to consider this multidisciplinary solution for the patients addressed. We can conclude and suggest that dental autotransplantation is a viable treatment option for patients with agenesis in the context of CLP patients.