Autotrasplante y reimplante intencional en odontología como alternativa en terapias complejas : revisión sistemática
No hay miniatura disponible
Archivos
Fecha
2024
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
El autotrasplante dental y la reimplantación intencional son técnicas avanzadas que ofrecen alternativas eficaces en terapias odontológicas complejas, permitiendo la preservación de dientes naturales en casos donde tradicionalmente se recomendaría la extracción y/o implantes dentales.
Objetivo: analizar la tasa de éxito del autotrasplante dental y la reimplantación intencional a largo plazo, así como identificar y examinar los factores que pueden conducir al fracaso de estos procedimientos.
Método: Revisión sistémica de artículos originales publicados entre el 2019 y 2024 en Europe PMC, Web of Science, PubMed y Scielo, utilizando la siguiente estrategia de búsqueda “Autotransplantation OR Reimplantation AND Dental NOT Implant”.
Resultados: El autotrasplante tiene una tasa de éxito del 95% con un seguimiento de hasta 41 años, lo que lo convierte en una alternativa efectiva para preservar la estructura periodontal y ósea. La reimplantación intencional, muestra una tasa de éxito del 70- 90% con un seguimiento de hasta 12 años, aunque este porcentaje disminuye ligeramente a largo plazo en dientes multirradiculares. A pesar de esto, sigue considerándose un procedimiento con buen pronóstico, reportando una tasa de supervivencia del 88,64% en dientes unirradiculares y del 85,57% en multirradiculares con un seguimiento de hasta 16 años..
Conclusión: El autotrasplante y la reimplantación intencional son alternativas efectivas y viables para tratamientos complejos debido a su alta tasa de éxito, gracias al avance de las nuevas técnicas y tecnología, sin embargo, presentan una alta dependencia de una evaluación cuidadosa del paciente y planificación quirúrgica meticulosa, optimizando los resultados a largo plazo.
Dental autotransplantation and intentional reimplantation are advanced techniques that offer effective alternatives in complex dental therapies, allowing the preservation of natural teeth in cases where extraction and/or implants would traditionally be recommended. Objective: to analyze the long-term success rate of dental autotransplantation and intentional replantation, as well as to identify and examine the factors that may lead to the failure of these procedures. Methods: Systemic review of original articles published between 2019 and 2024 in Europe PMC, Web of Science, PubMed and Scielo, using the following search strategy “Autotransplantation OR Reimplantation AND Dental NOT Implant”. Results: Autotransplantation has a success rate of 95% with follow-up periods of up to 41 years, making it an effective alternative for preserving periodontal and bone structure. Intentional reimplantation shows a success rate of 70-90% with up to 12 years of follow-up, though this percentage slightly decreases in the long term for multiradicular teeth. Despite this, it is still considered a procedure with a good prognosis, reporting a survival rate of 88.64% for uniradicular teeth and 85.57% for multiradicular teeth with follow-up periods of up to 16 years. Conclusion: Autotransplantation and intentional replantation are effective and viable alternatives for complex treatments due to their high success rate, thanks to the advance of new techniques and technology, however, they are highly dependent on careful patient evaluation and meticulous surgical planning, optimizing long-term results.
Dental autotransplantation and intentional reimplantation are advanced techniques that offer effective alternatives in complex dental therapies, allowing the preservation of natural teeth in cases where extraction and/or implants would traditionally be recommended. Objective: to analyze the long-term success rate of dental autotransplantation and intentional replantation, as well as to identify and examine the factors that may lead to the failure of these procedures. Methods: Systemic review of original articles published between 2019 and 2024 in Europe PMC, Web of Science, PubMed and Scielo, using the following search strategy “Autotransplantation OR Reimplantation AND Dental NOT Implant”. Results: Autotransplantation has a success rate of 95% with follow-up periods of up to 41 years, making it an effective alternative for preserving periodontal and bone structure. Intentional reimplantation shows a success rate of 70-90% with up to 12 years of follow-up, though this percentage slightly decreases in the long term for multiradicular teeth. Despite this, it is still considered a procedure with a good prognosis, reporting a survival rate of 88.64% for uniradicular teeth and 85.57% for multiradicular teeth with follow-up periods of up to 16 years. Conclusion: Autotransplantation and intentional replantation are effective and viable alternatives for complex treatments due to their high success rate, thanks to the advance of new techniques and technology, however, they are highly dependent on careful patient evaluation and meticulous surgical planning, optimizing long-term results.
Notas
Proyecto de título (Cirujano Dentista)
Palabras clave
Implantes Dentales, Reimplante Dental, Investigaciones, Revisión Sistemática.