Tooth auto-transplantation with double periodontal ligament stimulation to replace periodontally compromised teeth

Journal of Periodontology
Philippe C Gault, Rita Warocquier-Clerout

Abstract

The healing process of autotransplantation puts 2 different tissues in competition: the ligament on the root surface and the bone tissue of the alveolus. This study shows the effects of a protocol with 2 surgical stages, which promote ligament repair, inhibit adhesion between bone and dental root, and reduce the occurrence of the ankylosis-root resorption phenomenon. Forty-three patients, 33 to 73 years old, received 47 transplantations of mature teeth (including retained teeth) during a 5-year period. During the first surgical step, the transplanted tooth is extracted, measured, immediately replaced in its origin site, and maintained with an original suture technique. The alveolus to which the tooth will be transplanted is adapted after extraction of the periodontally compromised tooth. The second surgery occurs at day 14, when regeneration of periodontal ligament (PDL) is at a maximum (first stimulation). The tooth is transplanted in its new alveolus and retained using the same suture technique to avoid a rigid splint and to create mechanical stimulation of the PDL (second stimulation). The results were 95.75% positive with normal PDL, with a 4.25% failure rate (transplant loss) and no ankylosis. Mean probing reduction was 8....Continue Reading

References

Oct 1, 1978·Journal of Periodontology·H M Goldman, H Smukler
May 1, 1976·Journal of Periodontology·A H Melcher
Oct 1, 1988·International Journal of Oral and Maxillofacial Surgery·G NethanderJ M Hirsch
Apr 1, 1986·Endodontics & Dental Traumatology·L HammarströmS Lindskog
Mar 1, 1980·Journal of Endodontics·R J OswaldH J Van Hassel
Apr 1, 1980·Journal of Endodontics·H J Van HasselG W Harrington
Oct 1, 1980·Journal of Clinical Periodontology·S NymanS Plantén
Jan 1, 1980·Journal of Endodontics·L TronstadI Riis
May 1, 1982·Journal of Clinical Periodontology·S NymanJ Lindhe
Apr 1, 1995·Endodontics & Dental Traumatology·J O AndreasenF M Andreasen

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Citations

Jul 25, 2013·International orthodontics·Philippe Gault
Aug 23, 2008·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Tahsin DemirZafer C Cehreli
Jun 16, 2010·Journal of Clinical Periodontology·Philippe GaultTilmann Wurtz
Jan 8, 2014·Journal of Clinical Periodontology·Wen-Chen ChungHsein-Kun Lu
Dec 29, 2004·The British Journal of Oral & Maxillofacial Surgery·Murat Akkocaoglu, Oguzcan Kasaboglu
Apr 24, 2015·Clinical Oral Investigations·Konstantinia AlmpaniMoschos A Papadopoulos
Jul 10, 2012·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Satoru ShirataniAtsushi Saito
Aug 31, 2016·Photomedicine and Laser Surgery·Miguel Rodrigues MartinsNorbert Gutknecht
Apr 16, 2019·Journal of Periodontal Research·Nirpesh AdhikariJae-Young Kim
Sep 3, 2013·L' Orthodontie française·Philippe Gault
Jan 16, 2018·Journal of Periodontal & Implant Science·Naoshi TakeuchiKazuyuki Noguchi

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