Ernest Lucas-Taulé1, Marc Llaquet2, Jesús Muñoz-Peñalver3, Jacobo Somoza4, Marta Satorres-Nieto5, Federico Hernández-Alfaro5. 1. Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Barcelona, Spain. Electronic address: ernest.lucas@uic.es. 2. Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain. 3. Department of Periodontics, Universitat Internacional de Catalunya, Barcelona, Spain. 4. Private Practice, Jacobo Somoza Institute, Madrid, Spain. 5. Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Barcelona, Spain.
Abstract
INTRODUCTION: Digital technology has been progressively introduced into tooth autotransplantation to enhance both treatment planning and surgery. The aim of this report was to describe a novel protocol for fully guided tooth autotransplantation. METHODS: This report includes 10 consecutive patients treated with a complete virtual planning and a multidrilling axis surgical guide in combination with the computer-aided rapid prototyping model. RESULTS: All transplanted teeth fulfilled the criteria for success over a mean follow-up duration of 13.1 months. No signs of progressive root resorption or pain were found during follow-up. One case required minimal adjustment of the surgical stent to allow correct seating, whereas a second case could not be performed fully guided because of limited mouth opening. CONCLUSIONS: Our protocol for fully guided tooth autotransplantation is a viable option that involves minimal bone preparation in a short surgical time. Future research should focus on further investigation of the benefits of this novel protocol in a larger sample.
INTRODUCTION: Digital technology has been progressively introduced into tooth autotransplantation to enhance both treatment planning and surgery. The aim of this report was to describe a novel protocol for fully guided tooth autotransplantation. METHODS: This report includes 10 consecutive patients treated with a complete virtual planning and a multidrilling axis surgical guide in combination with the computer-aided rapid prototyping model. RESULTS: All transplanted teeth fulfilled the criteria for success over a mean follow-up duration of 13.1 months. No signs of progressive root resorption or pain were found during follow-up. One case required minimal adjustment of the surgical stent to allow correct seating, whereas a second case could not be performed fully guided because of limited mouth opening. CONCLUSIONS: Our protocol for fully guided tooth autotransplantation is a viable option that involves minimal bone preparation in a short surgical time. Future research should focus on further investigation of the benefits of this novel protocol in a larger sample.