{"title":"Surgical placement of third molars to replace other teeth: “spare wheels”","authors":"Alain Garcia","doi":"10.1684/orthodfr.2022.100","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The prognostic improvement for dental auto-transplants is the result of a better understanding in the physiopathology of the periodontium and also of the refining of the technical operative procedure. This fact allows the use of third molars as donor site for the replacement of absent, or first or second badly decayed molars.</p><p><strong>Discussion: </strong>This possible therapy is a supplement argument for the conservation of third molars and their extraction must be indicated only when the anatomic situation presents a pathological risk.</p><p><strong>Results: </strong>If, in adults, it is possible to compare the advantages and disadvantages with the classical implant or prosthetic techniques, it should however be considered as first choice therapy for adolescents and young adults. Indeed, in these cases, the lower risk of root ankylosis avoids passive intrusion and the osteogenic effect of the desmodontium allows normal alveolar bone formation.</p>","PeriodicalId":35927,"journal":{"name":"L'' Orthodontie française","volume":"aheadofprint aheadofprint","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"L'' Orthodontie française","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1684/orthodfr.2022.100","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: The prognostic improvement for dental auto-transplants is the result of a better understanding in the physiopathology of the periodontium and also of the refining of the technical operative procedure. This fact allows the use of third molars as donor site for the replacement of absent, or first or second badly decayed molars.
Discussion: This possible therapy is a supplement argument for the conservation of third molars and their extraction must be indicated only when the anatomic situation presents a pathological risk.
Results: If, in adults, it is possible to compare the advantages and disadvantages with the classical implant or prosthetic techniques, it should however be considered as first choice therapy for adolescents and young adults. Indeed, in these cases, the lower risk of root ankylosis avoids passive intrusion and the osteogenic effect of the desmodontium allows normal alveolar bone formation.
期刊介绍:
L’Orthodontie Française, organe officiel de communication de la Société Française d’Orthopédie Dento-Faciale, est un journal scientifique de référence depuis 1921, de diffusion internationale, indexé à Medline et référencé à l’Index Medicus et à Bibliodent. Le journal a pour vocation d’accueillir les travaux des membres de la SFODF, des conférenciers ayant communiqué lors des congrès de la Société, ou de tout travail soumis à l’approbation de son comité de rédaction, traitant de l’orthopédie dento-faciale ou de tout sujet en rapport avec cette discipline.