What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses

Background: Autotransplantation is the surgical repositioning of a tooth within the same patient. It can be thought of as the controlled avulsion and re-implantation of a tooth and can be a viable alternative to other dental rehabilitation options. This review aimed to evaluate the survival rate (SR...

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Main Authors: Ashutosh Kumar Singh, Nikita Khanal, Nisha Acharya, Md Riasat Hasan, Takashi Saito
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/5/835
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author Ashutosh Kumar Singh
Nikita Khanal
Nisha Acharya
Md Riasat Hasan
Takashi Saito
author_facet Ashutosh Kumar Singh
Nikita Khanal
Nisha Acharya
Md Riasat Hasan
Takashi Saito
author_sort Ashutosh Kumar Singh
collection DOAJ
description Background: Autotransplantation is the surgical repositioning of a tooth within the same patient. It can be thought of as the controlled avulsion and re-implantation of a tooth and can be a viable alternative to other dental rehabilitation options. This review aimed to evaluate the survival rate (SR), major complications such as ankylosis rate (AR) and infection-related root resorption (RR), and overall success and failure rate (FR) in autotransplanted teeth. Methods: Six databases were accessed up to January 2021 to obtain all systematic reviews and meta-analyses (SRs and MAs). Study selection: After title and abstract reading, data extraction was performed from eligible SRs. The methodological quality was calculated for the included SRs using the risk of bias in systematic reviews (ROBIS) tool. Results: Six SRs were included in this review. The overall failure rate ranged from as low as 2.0% to 10.32%. The 1-year survival was very high (97.4–98.0%). The 5-year survival rate ranged from 81 to 98.2%. Major complications of AR ranged from 1.2 to 6.2%, and RR ranged from 2.1 to 10.4%. Conclusion: The overall findings from these SR and MA are promising; however, all the SRs include only single-arm prospective or retrospective studies, the SRs are of overall low methodological quality, and for the heterogeneity of the included SRs, well-designed comparative studies with a long-term follow-up are recommended.
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spelling doaj.art-036b2ce97aaf41d5b2dfaefa6ca9ce0c2023-11-23T11:13:47ZengMDPI AGHealthcare2227-90322022-05-0110583510.3390/healthcare10050835What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and MetanalysesAshutosh Kumar Singh0Nikita Khanal1Nisha Acharya2Md Riasat Hasan3Takashi Saito4Department of Oral & Maxillofacial Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu 44600, NepalDental Surgeon, Ek EK Paila Foundation, Kathmandu 44600, NepalDepartment of Conservative Dentistry and Endodontics, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu 44600, NepalDivision of Clinical Cariology and Endodontology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido, Hokkaido 061-0293, JapanDivision of Clinical Cariology and Endodontology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido, Hokkaido 061-0293, JapanBackground: Autotransplantation is the surgical repositioning of a tooth within the same patient. It can be thought of as the controlled avulsion and re-implantation of a tooth and can be a viable alternative to other dental rehabilitation options. This review aimed to evaluate the survival rate (SR), major complications such as ankylosis rate (AR) and infection-related root resorption (RR), and overall success and failure rate (FR) in autotransplanted teeth. Methods: Six databases were accessed up to January 2021 to obtain all systematic reviews and meta-analyses (SRs and MAs). Study selection: After title and abstract reading, data extraction was performed from eligible SRs. The methodological quality was calculated for the included SRs using the risk of bias in systematic reviews (ROBIS) tool. Results: Six SRs were included in this review. The overall failure rate ranged from as low as 2.0% to 10.32%. The 1-year survival was very high (97.4–98.0%). The 5-year survival rate ranged from 81 to 98.2%. Major complications of AR ranged from 1.2 to 6.2%, and RR ranged from 2.1 to 10.4%. Conclusion: The overall findings from these SR and MA are promising; however, all the SRs include only single-arm prospective or retrospective studies, the SRs are of overall low methodological quality, and for the heterogeneity of the included SRs, well-designed comparative studies with a long-term follow-up are recommended.https://www.mdpi.com/2227-9032/10/5/835autotransplantationsurvival ratesuccess ratecomplicationsresorption
spellingShingle Ashutosh Kumar Singh
Nikita Khanal
Nisha Acharya
Md Riasat Hasan
Takashi Saito
What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses
Healthcare
autotransplantation
survival rate
success rate
complications
resorption
title What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses
title_full What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses
title_fullStr What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses
title_full_unstemmed What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses
title_short What Are the Complications, Success and Survival Rates for Autotransplanted Teeth? An Overview of Systematic Reviews and Metanalyses
title_sort what are the complications success and survival rates for autotransplanted teeth an overview of systematic reviews and metanalyses
topic autotransplantation
survival rate
success rate
complications
resorption
url https://www.mdpi.com/2227-9032/10/5/835
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