颅面畸形的自体牙齿移植。

IF 1.2 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Cleft Palate-Craniofacial Journal Pub Date : 2024-09-01 Epub Date: 2023-04-24 DOI:10.1177/10556656231170997
Andreas Naros, Matthias Schulz, Hannah Finke, Siegmar Reinert, Michael Krimmel
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引用次数: 0

摘要

目的:评估移植牙齿在颅面畸形年轻患者中的适用性:评估颅面畸形年轻患者移植牙齿的适用性:观察研究:腭裂和颅面畸形综合中心:接受牙齿移植手术的颅面畸形患者。干预措施:牙齿移植:干预措施:牙齿移植:对临床记录、术前术后X光片和手术图表进行回顾性评估。收集患者的临床特征、术前参数和术后结果参数:结果:共纳入 17 名患者,23 次牙齿移植手术。中位随访时间为 6.7 年。存活率和成功率合计为 91%。值得注意的是,在移植到植骨牙槽裂部位的两颗牙齿中,有一颗必须拔除,这可能表明这种手术的风险较高。在随访期间,共有两颗移植的牙齿需要拔除,一颗是由于外部吸收,另一颗是由于牙周病变。一名患者因牙髓坏死需要进行牙髓治疗:我们认为,对于颅面畸形和伴随症状的年轻患者来说,牙齿移植是一种可靠而合适的牙齿康复方法。我们鼓励颅面团队在适当的病例中更多地重新考虑这一选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Autologous Tooth Transplantation in Craniofacial Malformations.

Objective: To evaluate the applicability of transplanted teeth in young patients with craniofacial anomalies.

Design: Observational study.

Setting: Comprehensive Centre for Cleft Palate and Craniofacial Malformations.

Patients/participants: Patients with craniofacial anomalies who underwent tooth transplantation. Only children with complete clinical and radiological documentation and a follow-up period of at least 1.5 years were included.

Interventions: Tooth transplantation.

Main outcome measure(s): Retrospective evaluation of clinical records, pre- and postoperative radiographs, and operative charts. Clinical characteristics of patients, preoperative parameters and postoperative outcome parameters were collected.

Results: A total of 17 patients with 23 tooth transplantations were included. The median follow-up period was 6.7 years. The pooled survival and success rates were 91%. Notably, one out of two teeth that were transplanted into the bone grafted alveolar cleft site had to be extracted, which might indicating a higher risk for this procedure. In total, two transplanted teeth had to be extracted during the follow-up period, one due to external resorption and the other one due to perio-endo lesion. One patient needed endodontic treatment due to pulp necrosis.

Conclusion: We consider tooth transplantation to be a reliable and suitable procedure in the dental rehabilitation of young patients with craniofacial anomalies and fitting concomitant circumstances. We encourage craniofacial teams to reconsider this option more frequently in appropriate cases.

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来源期刊
CiteScore
2.70
自引率
36.40%
发文量
215
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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