第一磨牙和第二磨牙自体移植存活率的标准和预后因素。

Q3 Medicine
Darja Gostilo, Gundega Jākobsone
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引用次数: 0

摘要

自体移植未成熟第三磨牙是一种有效的治疗选择,成功率高,并发症少,并且在咬合功能和牙齿美观方面有显著改善。本研究旨在回顾和评估关于未成熟自体第三磨牙移植存活率和成功率的现有证据,并确定影响这些结果的预后因素。在截至2024年5月的Elsevier期刊(ScienceDirect)、MEDLINE (PubMed)和Dentistry & Oral Sciences Source (EBSCOhost)数据库中进行了全面搜索。使用CASP指南评估研究中的偏倚风险。9项研究符合定性和定量分析的纳入标准。所有研究的总生存率一直很高,估计为91.867% (95% CI: 85.058%至96.741%),而成功率虽然略低,但仍保持在90.162% (95% CI: 79.813%至97.067%)。确定的关键预后因素包括供牙的发育阶段(从R¼到Rc的Moorrees阶段),由于更好的牙髓血运重建潜力和持续的牙根生长,显示出更高的成功率。此外,包括计算机辅助快速成型(CARP)和富血小板血浆(PRP)等先进方法在内的创新技术被发现对愈合和整合有积极影响。固定方法也发挥了作用,因为过度的刚性固定与较高的强直率和炎症性牙根吸收有关。未来的研究应优先考虑受体位置和供牙特征,标准化的成功标准,延长随访时间,完善治疗方案,以提高自体牙移植的可预测性和长期结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Criteria and prognostic factors for survival and success rates for autotransplantation in the area of first and second molars.

Autotransplantation of immature third molars is an effective treatment option, offering high success rates, minimal complications, and notable improvements in occlusal function and dental aesthetics. This study aims to review and evaluate the available evidence specifically on the survival and success rates of immature autotransplanted third molars and to identify prognostic factors that influence these outcomes. A comprehensive search was conducted in the Elsevier Journals (ScienceDirect), MEDLINE (PubMed), and Dentistry & Oral Sciences Source (EBSCOhost) databases up to May 2024. Risk of bias within studies was asse ssed with the CASP guidelines. Nine studies met the inclusion criteria for qualitative and quantitative analysis. The pooled survival rate was consistently high across studies, estimated at 91.867% (95% CI: 85.058% to 96.741%), while the success rate, though slightly lower, remained substantial at 90.162% (95% CI: 79.813% to 97.067%). Key prognostic factors identified include the developmental stage of the donor teeth (Moorrees stages from R ¼  to Rc), showing enhanced success due to better potential for pulp revascularization and continued root growth. Additionally, innovative techniques, including advanced methods like computer-aided rapid prototyping (CARP) and platelet-rich plasma (PRP), were found to positively impact healing and integration. Fixation methods also played a role, as excessive rigid fixation was linked to higher rates of ankylosis and inflammatory root resorption. Future research should prioritize recipient site and donor tooth characteristics, standardized success criteria, extended follow-up periods, and refined treatment protocols to enhance predictability and long-term outcomes in teeth autotransplantation.

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来源期刊
Swiss dental journal
Swiss dental journal Dentistry-Dentistry (miscellaneous)
CiteScore
1.00
自引率
0.00%
发文量
0
期刊介绍: Fondé en 1891 et lu par tous les médecins-dentistes ou presque qui exercent en Suisse, le SWISS DENTAL JOURNAL SSO est l’organe de publication scientifique de la Société suisse des médecins-dentistes SSO. Il publie des articles qui sont reconnus pour la formation continue et informe sur l’actualité en médecine dentaire et dans le domaine de la politique professionnelle de la SSO.
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