Evaluation of the influence of clinical and radiographic factors as predictive of the success rate in 144 autogenous dental transplants / Avaliação da influência de fatores clínicos e radiográficos como preditivos no índice de sucesso de 144 transplantes dentários autógenos
AUTOR(ES)
Tiago Novaes Pinheiro
DATA DE PUBLICAÇÃO
2009
RESUMO
The present study examined a sample consisting of 144 autogenous dental transplants performed in 128 patients, subjected to periodic follow-up from 6 months to 23 years. The objective was to evaluate the influence of clinical and radiographic factors in the success rate of the performed transplants. Clinical evaluation aimed the change in tooth color, pulpal vitality, periodontal involvement, transplanted tooth type and recipient site. Radiographic evaluation aimed the presence or absence of root resorption, ankylosis, pulpal changes, complementation of the root development, presence of persistent periapical lesions and crown-root ratio. The data were collected, analyzed and submitted to the relevant statistical calculations. Tooth resorptions, ankylosis, crown to root proportion, presence of persistent periapical lesions, development of periodontal pocket depth and tooth mobility was highlighted as statistically significant P <0.05. The donor tooth type, the receptor site, changes in tooth color and root development at the time of the transplant surgery did not reach levels of significance related to the failure of the cases. The presence of pulpal sclerosis processes shown to be common to successful transplantation of teeth with incomplete root formation. These findings contribute to the development of a reliable therapeutic protocol.
ASSUNTO(S)
traumatismo dentário dental trauma transplantes dentários tooth transplantation
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