Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites

Abstract Background The amount of bone remaining at the transplant site for autogenous tooth transplantation can facilitate successful healing. Therefore, this retrospective study evaluated the factors influencing the healing of 50 successful autogenous tooth transplantations with insufficient bone...

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Main Authors: Thanapon Suwanapong, Aurasa Waikakul, Kiatanant Boonsiriseth, Nisarat Ruangsawasdi
Format: Article
Language:English
Published: BMC 2021-06-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-021-01686-x
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author Thanapon Suwanapong
Aurasa Waikakul
Kiatanant Boonsiriseth
Nisarat Ruangsawasdi
author_facet Thanapon Suwanapong
Aurasa Waikakul
Kiatanant Boonsiriseth
Nisarat Ruangsawasdi
author_sort Thanapon Suwanapong
collection DOAJ
description Abstract Background The amount of bone remaining at the transplant site for autogenous tooth transplantation can facilitate successful healing. Therefore, this retrospective study evaluated the factors influencing the healing of 50 successful autogenous tooth transplantations with insufficient bone support at the transplanted site without a bone graft. Methods The factors were classified as pre- and peri-operative factors, and the healing outcomes were clinical and radiographic observations. The factors were statistically analyzed using the chi-square test to identify correlations between the pre- and peri-operative factors and the clinical and radiographic outcomes. The T-test or one-way analysis of variance was used to compare the percent bone change in each factor. Results The results indicated that gingival healing was delayed in the intra-arch transplantations, and pulp obliteration was seen earlier when transplanted in the maxilla. Patients under 18-years-old demonstrated a greater percent bone change than the over 18-year-old patients, while the peri-operative variables did not have a relationship with clinical healing and the amount of bone change over 12 months. Furthermore, the percent bone change significantly increased during the first three months. Conclusions In conclusion, pre-operative factors, age and transplant site, influenced the healing rate of autogenous transplanted teeth. In contrast, the peri-operative factors were not related with the clinical and radiographic outcomes. Generating the least trauma to the periodontal ligament cells is the most important concern.
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spelling doaj.art-bafa47e60bed4d22b9021f6a990d2c882022-12-21T22:06:56ZengBMCBMC Oral Health1472-68312021-06-0121111010.1186/s12903-021-01686-xPre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sitesThanapon Suwanapong0Aurasa Waikakul1Kiatanant Boonsiriseth2Nisarat Ruangsawasdi3Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol UniversityDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol UniversityDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol UniversityDepartment of Pharmacology, Faculty of Dentistry, Mahidol UniversityAbstract Background The amount of bone remaining at the transplant site for autogenous tooth transplantation can facilitate successful healing. Therefore, this retrospective study evaluated the factors influencing the healing of 50 successful autogenous tooth transplantations with insufficient bone support at the transplanted site without a bone graft. Methods The factors were classified as pre- and peri-operative factors, and the healing outcomes were clinical and radiographic observations. The factors were statistically analyzed using the chi-square test to identify correlations between the pre- and peri-operative factors and the clinical and radiographic outcomes. The T-test or one-way analysis of variance was used to compare the percent bone change in each factor. Results The results indicated that gingival healing was delayed in the intra-arch transplantations, and pulp obliteration was seen earlier when transplanted in the maxilla. Patients under 18-years-old demonstrated a greater percent bone change than the over 18-year-old patients, while the peri-operative variables did not have a relationship with clinical healing and the amount of bone change over 12 months. Furthermore, the percent bone change significantly increased during the first three months. Conclusions In conclusion, pre-operative factors, age and transplant site, influenced the healing rate of autogenous transplanted teeth. In contrast, the peri-operative factors were not related with the clinical and radiographic outcomes. Generating the least trauma to the periodontal ligament cells is the most important concern.https://doi.org/10.1186/s12903-021-01686-xAutogenous tooth transplantationSeverely insufficient alveolar boneAutotransplantationOperative factorsBone healing
spellingShingle Thanapon Suwanapong
Aurasa Waikakul
Kiatanant Boonsiriseth
Nisarat Ruangsawasdi
Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites
BMC Oral Health
Autogenous tooth transplantation
Severely insufficient alveolar bone
Autotransplantation
Operative factors
Bone healing
title Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites
title_full Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites
title_fullStr Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites
title_full_unstemmed Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites
title_short Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites
title_sort pre and peri operative factors influence autogenous tooth transplantation healing in insufficient bone sites
topic Autogenous tooth transplantation
Severely insufficient alveolar bone
Autotransplantation
Operative factors
Bone healing
url https://doi.org/10.1186/s12903-021-01686-x
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AT kiatanantboonsiriseth preandperioperativefactorsinfluenceautogenoustoothtransplantationhealingininsufficientbonesites
AT nisaratruangsawasdi preandperioperativefactorsinfluenceautogenoustoothtransplantationhealingininsufficientbonesites