Autotransplantation of immature third molars into edentulous and atrophied jaw sections.
The aim of the present study was to assess the results after transplantation of 85 immature third molars. Recipient site conditions varied and different surgical techniques were used. The long-term results after preparation of a new alveolus, splitting osteotomy of the alveolar process or use of free bone autografts were compared with the results after transplantation into a fresh extraction site (control group). Transplantations into prepared sockets showed equal results to the control group (94% respectively). Transplantations in connection with free bone autografts (84%) or after splitting osteotomy of the alveolar process (63%) showed poorer success rates, the differences between the latter and the control group being statistically significant. A possible correlation to revascularization disturbances of the pulp due to an insufficiency of the recipient site or to postoperative infection is suspected. The results show that transplantation of immature third molars is a safe, useful procedure when appropriate conditions of the recipient site are present. Where the alveolus is atrophic, a splitting osteotomy should be performed only in exceptional cases and preference should be given to alternative methods such as primary bone augmentation or bone-regenerative procedures.
Department of Orthodontics, Hannover Medical School, Hannover, Germany. bauss.oskar@mh-hannover.de
O
O
Bauss
W
W
Engelke
C
C
Fenske
R
R
Schilke
R
R
Schwestka-Polly
D000293:Adolescent; D000328:Adult; D016301:Alveolar Bone Loss / Q000601:surgery; D000540:Alveolar Ridge Augmentation / Q000009:adverse effects / Q000379:methods; D016025:Bone Transplantation; D003790:Dental Pulp Necrosis / Q000209:etiology; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000601:surgery*; D008297:Male; D008964:Molar, Third / Q000254:growth & development / Q000637:transplantation*; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods; D010516:Periodontal Splints; D012391:Root Resorption / Q000209:etiology; D014083:Tooth Germ / Q000637:transplantation*; D014086:Tooth Mobility; D014092:Tooth Root / Q000254:growth & development; D020390:Tooth Socket / Q000601:surgery; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome