Transplant surgical templates for dental autotransplantation: a technical note

Introduction: This technical note presents the autotransplantation of an impacted third molar to replace a severely damaged homolateral molar using a surgical template of the tooth to be transplanted to prepare the recipient site based on an original protocol. Technique: Mandibular molar extraction...

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Main Authors: Tavennec Louise, Chataigner Pierre-Alexandre, Sorel Olivier, Fau Victor
Format: Article
Language:English
Published: EDP Sciences 2019-01-01
Series:Journal of Oral Medicine and Oral Surgery
Subjects:
Online Access:https://www.jomos.org/articles/mbcb/full_html/2019/03/mbcb190006/mbcb190006.html
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author Tavennec Louise
Chataigner Pierre-Alexandre
Sorel Olivier
Fau Victor
author_facet Tavennec Louise
Chataigner Pierre-Alexandre
Sorel Olivier
Fau Victor
author_sort Tavennec Louise
collection DOAJ
description Introduction: This technical note presents the autotransplantation of an impacted third molar to replace a severely damaged homolateral molar using a surgical template of the tooth to be transplanted to prepare the recipient site based on an original protocol. Technique: Mandibular molar extraction is first performed, and autotransplantation is done after 7 days. Alveolar adjustment of the receiving socket is done using a resin replica of the tooth to be transplanted; the replica is obtained using DICOM diagnosis data. The three-dimensional (3D) replica is produced using 3D printing techniques with photopolymerizable methacrylate resin. Once the recipient site is ready, the transplant is avulsed. Immediate positioning of the tooth in the new socket will save a tremendous amount of extra-alveolar time. Cross-stitch sutures are done to obtain complete restraint, and endodontic treatment is administered after 15 days. Postoperative clinical and radiographic examination showed periodontal healing after postoperative 6 months. Comments: The use of the surgical template resulted in an extra-alveolar time of below 5 s and preservation of healthy periodontal ligament cells of the donor tooth as much as possible. Conclusion: The 3D technology, from imaging to printing, can drive the improvement of prognosis in a tooth autotransplantation protocol.
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spelling doaj.art-b82b3bd1e2654ab5a1fbadd6e98bd6312022-12-21T21:58:07ZengEDP SciencesJournal of Oral Medicine and Oral Surgery2608-13262019-01-012532510.1051/mbcb/2019010mbcb190006Transplant surgical templates for dental autotransplantation: a technical noteTavennec Louise0Chataigner Pierre-Alexandre1Sorel Olivier2Fau Victor3Dental and Oral Medicine Resident, CHU RennesOrthodontics Resident, CHU RennesPU-PH Orthodontics, CHU RennesAHU Oral Surgery, CHU RennesIntroduction: This technical note presents the autotransplantation of an impacted third molar to replace a severely damaged homolateral molar using a surgical template of the tooth to be transplanted to prepare the recipient site based on an original protocol. Technique: Mandibular molar extraction is first performed, and autotransplantation is done after 7 days. Alveolar adjustment of the receiving socket is done using a resin replica of the tooth to be transplanted; the replica is obtained using DICOM diagnosis data. The three-dimensional (3D) replica is produced using 3D printing techniques with photopolymerizable methacrylate resin. Once the recipient site is ready, the transplant is avulsed. Immediate positioning of the tooth in the new socket will save a tremendous amount of extra-alveolar time. Cross-stitch sutures are done to obtain complete restraint, and endodontic treatment is administered after 15 days. Postoperative clinical and radiographic examination showed periodontal healing after postoperative 6 months. Comments: The use of the surgical template resulted in an extra-alveolar time of below 5 s and preservation of healthy periodontal ligament cells of the donor tooth as much as possible. Conclusion: The 3D technology, from imaging to printing, can drive the improvement of prognosis in a tooth autotransplantation protocol.https://www.jomos.org/articles/mbcb/full_html/2019/03/mbcb190006/mbcb190006.htmltooth autotransplantationsurgical protocol3d technology
spellingShingle Tavennec Louise
Chataigner Pierre-Alexandre
Sorel Olivier
Fau Victor
Transplant surgical templates for dental autotransplantation: a technical note
Journal of Oral Medicine and Oral Surgery
tooth autotransplantation
surgical protocol
3d technology
title Transplant surgical templates for dental autotransplantation: a technical note
title_full Transplant surgical templates for dental autotransplantation: a technical note
title_fullStr Transplant surgical templates for dental autotransplantation: a technical note
title_full_unstemmed Transplant surgical templates for dental autotransplantation: a technical note
title_short Transplant surgical templates for dental autotransplantation: a technical note
title_sort transplant surgical templates for dental autotransplantation a technical note
topic tooth autotransplantation
surgical protocol
3d technology
url https://www.jomos.org/articles/mbcb/full_html/2019/03/mbcb190006/mbcb190006.html
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AT chataignerpierrealexandre transplantsurgicaltemplatesfordentalautotransplantationatechnicalnote
AT sorelolivier transplantsurgicaltemplatesfordentalautotransplantationatechnicalnote
AT fauvictor transplantsurgicaltemplatesfordentalautotransplantationatechnicalnote