Akhlef Y, Schwartz O, Andreasen JO, Jensen SS
Dent Traumatol. 2018;34:20-27
Background/Aim: Autotransplantation of teeth to the anterior maxilla may be indicated after trauma or in patients with congenitally missing teeth. The aim of this systematic review was to report the current evidence concerning survival and success rate, aesthetic out-come, and patient-reported outcome of autotrans-planted teeth to the anterior maxilla.
Materials and Methods: A MEDLINE search followed by an additional hand search was performed to identify relevant literature. All levels of evidence except case reports were considered. Any publication reporting on 10 or more autotransplanted teeth to the anterior maxilla, and written in English were eligible for this systematic review.
Results: The systematic search identified 95 abstracts. Thirty-seven full-text articles were evaluated of which 17 could finally be included. Data on survival and success rate of the transplants could be extracted from 11 studies. Survival rates ranged between 93% and 100% (weighted mean: 96.7%, median: 100%) after 9 months to 22 years of observation (median: 8.75 years). No consensus regarding definition of success criteria of the transplants could be found in the literature. Two and four studies contained data on aesthetic and patient-reported outcomes, respectively. In general, they reported favourable aesthetic results and high patient satisfaction.
Conclusion: The current available evidence suggests a high survival rate after autotransplantation of teeth to the anterior maxilla. However, the level of evidence is low. Limited data on aesthetic and patient-reported outcomes warrant additional research in this field. Read full abstract.
LA: The interest for autotransplantation is increasing worldwide as one of the more suitable treatment alternatives to replace lost teeth in the anterior region after trauma, especially in young growing patients where implant treatment is not suitable. Autotrans-plantation has many advantages such as preserving bone and soft tissue in the area and does not interfere with alveolar growth and development of the alveolar process as implants do. This systematic review is important by summarizing the current evidence in this field. The results indicate that the prognosis is good and warrants further research in this field, especially on the patient reported outcome and esthetics. Moreover the success criteria should be further developed, defined and standardized in future studies.