Bioengineering (Sep 2023)

Dental Auto Transplantation Success Rate Increases by Utilizing 3D Replicas

  • Peter Kizek,
  • Marcel Riznic,
  • Branislav Borza,
  • Lubos Chromy,
  • Karolina Kamila Glinska,
  • Zuzana Kotulicova,
  • Jozef Jendruch,
  • Radovan Hudak,
  • Marek Schnitzer

DOI
https://doi.org/10.3390/bioengineering10091058
Journal volume & issue
Vol. 10, no. 9
p. 1058

Abstract

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Dental autotransplantation is an effective alternative to conventional dental treatment, and it involves removing a tooth and repositioning it in a new position within the same patient. Although this procedure might pose more intraoperative challenges, it provides a great solution for replacing missing teeth or aiding difficult eruption in young patients. This prospective method is also advocated as a use of treatment for unrestorable teeth. The success rates of autotransplantation cases with and without replicas were compared in a retrospective analysis of the data. By reducing donor tooth manipulation and ensuring a proper fit and positioning in the recipient socket, replicas significantly increased success rates of the procedure. CBCT scans were used to collect data. Data exported to the Mimics system were then processed in order to achieve a model of the donor tooth. Additive manufacturing technology was used to create the replicas. Specialized biocompatible material was used. Details of the replantation site and the donor tooth requirements were described, as well as the step-by-step surgical technique. For the best results, variables, like patient selection, surgical technique, and long-term monitoring, were found to be essential. The study highlights the significance of dental professionals and biomedical engineering staff working together to develop standard operating procedures and achieve predictable outcomes in autotransplantation procedures. The results suggest that 3D printed replicas could be a useful tool for improving the effectiveness and success of dental autotransplantation.

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