Survey of patients and parents on the autotransplantation of developing premolars to replace traumatised maxillary incisors

Dent Traumatol. 2023 Jul:39 Suppl 1:90-98. doi: 10.1111/edt.12848. Epub 2023 Apr 26.

Abstract

Background/aim: There is a little research on the experiences and opinions of patients who have had autotransplantation of a tooth. The aim of the study was to assess the satisfaction of patients who underwent the autotransplantation of a developing premolar to replace a traumatised maxillary central incisor.

Materials and methods: Eighty patients (with a mean age of 10.7-years) and 32 parents were surveyed with 13 and 7 questions, respectively, to determine their opinions about the surgery, post-operative period, orthodontic and restorative treatment they had received.

Results: Patients and their parents were very satisfied with the outcomes of the autotransplantation treatment. The majority of patients and all parents declared that they would choose this treatment again if needed. Patients who already had aesthetic restoration of the transplanted toothscored significantly better in position, similarity to other teeth, alignment and aesthetics, when compared to patients before restoration of the premolar to the shape of incisor. Patients after orthodontic treatment considered the alignment of the transplanted tooth between the adjacent teeth as better when compared to patients before or during their orthodontic treatment.

Conclusions: Autotransplantation of developing premolars to replace traumatized maxillary central incisors proved to be a well-accepted treatment option. A delay of restoration of the transplanted premolars to the shape of the maxillary incisors did not have a negative impact on the satisfaction with the treatment.

Keywords: autotransplantation of premolars; patients' survey; treatment outcomes.

MeSH terms

  • Bicuspid / transplantation
  • Child
  • Humans
  • Incisor* / surgery
  • Maxilla* / surgery
  • Transplantation, Autologous