Sažetak sa skupa
Autotransplantation of Premolars to the Central Maxillary Position: A Clinical and Radiographic Follow-Up Study
Ilija Škrinjarić
Domagoj Glavina
Martina Majstorović
Sažetak
Autotransplantation of premolars to replace missing maxillary incisors in young patients can provide reestablishment of normal function and aesthetics. However, there is a need to assess function and aesthetic appearance of transplanted teeth in a long-term perspective. The objectives of the present study were to evaluate success of treatment and aesthetic results of transplanted premolars after 7.5 to 11.5 years of follow-up. The purpose was also to evaluate whether transplantation procedure can produce predictable functional and aesthetic results after a longer time of intraoral service. The material comprised 10 patients with transplanted teeth to the position of maxillary central incisors. At the time of transplantation patients were aged between 9 and 14 years (M = 12 years). All of them were treated at the Department of Paediatric Dentistry, School of Dental Medicine. After transplantation all teeth were splinted with a wire-composite splint for two weeks, and reshaped using composite after three months. The reshaped teeth were compared with contralateral incisors regarding morphology, colour and overall aestethics. Follow-up ranged from 7.5 to 11.5 years (average) years). The outcome of tooth transplantation was
assessed using clinical, radiographic and aesthetic criteria.
The visual analog scale was submitted to the patients to assess their overall satisfaction with procedure outcome. The aesthetic outcome was placed into three categories: 1. Match (difference less than 0.5 mm), 2. Deviate (difference from 0.5 to 1.5 mm), and 3. Mismatch (difference more than 1.5 mm). The results showed that all teeth survived without signs of root resorption and ankylosis, although endodontic treatment was performed in 70 percent of teeth. Aesthetics after initial reshaping was scored as matched in all cases, and in 80 % after follow-up of 7.5 to 11.5 years. The study showed that overall patients’ satisfaction with treatment outcome was very high (VAS = 87.1). Transplantation of premolars to the incisors position represent a safe method that gives highly predictable functional and aesthetic results.
Ključne riječi
Hrčak ID:
3563
URI
Datum izdavanja:
15.9.2003.
Posjeta: 1.442 *