Autotrasplante Digital
Reporte de Caso Clínico
Palabras clave:
autotrasplante dental, planificación digital, réplica 3D, autotrasplante autólogoResumen
El trasplante dentario autólogo se define como el posicionamiento de una pieza dentaria autóloga en un alvéolo post extracción o en un lecho formado quirúrgicamente. Actualmente, siguiendo los criterios de selección adecuados y una técnica quirúrgica minuciosa, resulta una alternativa terapéutica ideal en ciertos pacientes. La gran variabilidad de implantes dentales y alternativas de injertos óseos han resuelto el problema de sustituir una pieza dentaria perdida. En los pacientes en crecimiento o con potencial de crecimiento residual del proceso alveolar, se pone en evidencia el inconveniente que puede representar la colocación de implantes, lo que hace necesario reevaluar la conservación de dientes y la utilización de técnicas quirúrgicas clásicas. Las tasas de éxito de los autotrasplantes autólogos han aumentado con el tiempo, alcanzando cifras mayores al 90%. En el presente artículo se reporta un caso clínico de autotrasplante dentario con planificación digital y una réplica tridimensional de la pieza a trasplantar.
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Andreasen J. O. (1981). Periodontal healing after replantation and autotransplantation of incisors in monkeys. International Journal of Oral Surgery, 10(1), 54–61. https://doi.org/10.1016/s0300-9785(81)80008-7
Andreasen, J. O., Paulsen, H. U., Yu, Z., Bayer, T., y Schwartz, O. (1990). A long-term study of 370 autotransplanted premolars. Part II. Tooth survival and pulp healing subsequent to transplantation. European Journal of Orthodontics, 12(1), 14–24. https://doi.org/10.1093/ejo/12.1.14
Atala-Acevedo, C., Abarca, J., Martínez-Zapata, M. J., Díaz, J., Olate, S., y Zaror, C. (2017). Success rate of autotransplantation of teeth with an open apex: systematic review and meta-analysis. Journal of Oral and Maxillofacial Surgery, 75(1), 35–50. https://doi.org/10.1016/j.joms.2016.09.010
Bae, J. H., Choi, Y. H., Cho, B. H., Kim, Y. K., y Kim, S. G. (2010). Autotransplantation of teeth with complete root formation: a case series. Journal of Endodontics, 36(8), 1422–1426. https://doi.org/10.1016/j.joen.2010.04.028
Chung, W. C., Tu, Y. K., Lin, Y. H., y Lu, H. K. (2014). Outcomes of autotransplanted teeth with complete root formation: a systematic review and meta-analysis. Journal of Clinical Periodontology, 41(4), 412–423. https://doi.org/10.1111/jcpe.12228
Cross, D., El-Angbawi, A., McLaughlin, P., Keightley, A., Brocklebank, L., Whitters, J., McKerlie, R., Cross, L., y Welbury, R. (2013). Developments in autotransplantation of teeth. The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 11(1), 49–55. https://doi.org/10.1016/j.surge.2012.10.003
Czochrowska, E. M., Stenvik, A., Album, B., y Zachrisson, B. U. (2000). Autotransplantation of premolars to replace maxillary incisors: a comparison with natural incisors. American Journal of Orthodontics and Dentofacial Orthopedics, 118(6), 592–600. https://doi.org/10.1067/mod.2000.110521
Czochrowska, E. M., Stenvik, A., y Zachrisson, B. U. (2002). The esthetic outcome of autotransplanted premolars replacing maxillary incisors. Dental Traumatology, 18(5), 237–245. https://doi.org/10.1034/j.1600-9657.2002.00094.x
Keightley, A. J., Cross, D. L., McKerlie, R. A., y Brocklebank, L. (2010). Autotransplantation of an immature premolar, with the aid of cone beam CT and computer-aided prototyping: a case report. Dental Traumatology, 26(2), 195–199. https://doi.org/10.1111/j.1600-9657.2009.00851.x
Kim, S., Lee, S. J., Shin, Y., y Kim, E. (2015). Vertical bone growth after autotransplantation of mature third molars: 2 case reports with long-term follow-up. Journal of Endodontics, 41(8), 1371–1374. https://doi.org/10.1016/j.joen.2015.01.036
Lundberg, T., y Isaksson, S. (1996). A clinical follow-up study of 278 autotransplanted teeth. The British Journal of Oral & Maxillofacial Surgery, 34(2), 181–185. https://doi.org/10.1016/s0266-4356(96)90374-5
Machado, L. A., do Nascimento, R. R., Ferreira, D. M., Mattos, C. T., y Vilella, O. V. (2016). Long-term prognosis of tooth autotransplantation: a systematic review and meta-analysis. International Journal of Oral and Maxillofacial Surgery, 45(5), 610–617. https://doi.org/10.1016/j.ijom.2015.11.010
Monsour, F. N., y Adkins, K. F. (1985). Aberrations in pulpal histology and dentinogenesis in transplanted erupting teeth. Journal of Oral and Maxillofacial Surgery, 43(1), 8–13. https://doi.org/10.1016/s0278-2391(85)80006-9.
Nethander, G. (1995). Oral restoration with fixed partial dentures on transplanted abutment teeth. The International Journal of Prosthodontics, 8(6), 517–526.
Ong, D. V., y Dance, G. M. (2021). Posterior tooth autotransplantation: a case series. Australian Dental Journal, 66(1), 85–95. https://doi.org/10.1111/adj.12757
Paulsen, H. U., Andreasen, J. O., y Schwartz, O. (1995). Pulp and periodontal healing, root development and root resorption subsequent to transplantation and orthodontic rotation: a long-term study of autotransplanted premolars. American Journal of Orthodontics and Dentofacial Orthopedics, 108(6), 630–640. https://doi.org/10.1016/s0889-5406(95)70009-9
Phutinart, S., Krisanaprakornkit, S., Makeudom, A., Suzuki, B., y Suzuki, E. Y. (2020). Periodontal ligament proliferation and expressions of bone biomolecules upon orthodontic preloading: Clinical implications for tooth autotransplantation. Korean Journal of Orthodontics, 50(3), 188–196. https://doi.org/10.4041/kjod.2020.50.3.188
Plakwicz, P., Wojtowicz, A., y Czochrowska, E. M. (2013). Survival and success rates of autotransplanted premolars: a prospective study of the protocol for developing teeth. American Journal of Orthodontics and Dentofacial Orthopedics, 144(2), 229–237. https://doi.org/10.1016/j.ajodo.2013.03.019
Shahbazian, M., Jacobs, R., Wyatt, J., Denys, D., Lambrichts, I., Vinckier, F., y Willems, G. (2013). Validation of the cone beam computed tomography-based stereolithographic surgical guide aiding autotransplantation of teeth: clinical case-control study. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 115(5), 667–675. https://doi.org/10.1016/j.oooo.2013.01.025
Shahbazian, M., Jacobs, R., Wyatt, J., Willems, G., Pattijn, V., Dhoore, E., VAN Lierde, C., y Vinckier, F. (2010). Accuracy and surgical feasibility of a CBCT-based stereolithographic surgical guide aiding autotransplantation of teeth: in vitro validation. Journal of Oral Rehabilitation, 37(11), 854–859. https://doi.org/10.1111/j.1365-2842.2010.02107.x
Sharma, A. B., y Vargervik, K. (2006). Using implants for the growing child. Journal of the California Dental Association, 34(9), 719–724. https://www.cda.org/Portals/0/journal/journal_092006.pdf
Tsukiboshi M. (2002). Autotransplantation of teeth: requirements for predictable success. Dental Traumatology, 18(4), 157–180. https://doi.org/10.1034/j.1600-9657.2002.00118.x
Yotsuya, M., Nakano, M., Umehara, K., Nomura, T., y Sato, T. (2020). Implant and prosthetic treatment in esthetic zone with alveolar ridge preservation and autotransplantation: clinical case report with 16-year follow-up. The Bulletin of Tokyo Dental College, 61(2), 145–150. https://doi.org/10.2209/tdcpublication.2019-0018
Yu, H. J., Jia, P., Lv, Z., y Qiu, L. X. (2017). Autotransplantation of third molars with completely formed roots into surgically created sockets and fresh extraction sockets: a 10-year comparative study. International Journal of Oral and Maxillofacial Surgery, 46(4), 531–538. https://doi.org/10.1016/j.ijom.2016.12.007
Zachrisson, B. U., Stenvik, A., y Haanaes, H. R. (2004). Management of missing maxillary anterior teeth with emphasis on autotransplantation. American Journal of Orthodontics and Dentofacial Orthopedics, 126(3), 284–288. https://doi.org/10.1016/j.ajodo.2004.06.007
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