Autografts, Surgery, Oral, Transplantation, Autologous
Conditions
Brief summary
The aim of this comparative study is to know the differences between the soft tissue volume changes around the autotransplanted tooth and the dental implant placed immediately after the extraction of a posterior tooth. Patient-centered results will also be obtained after having received one or the other treatment.
Detailed description
Dental autotransplantation has high levels of success in permanent teeth with open apex. The results of success in permanent teeth with closed apex are somewhat lower but sufficient to consider the treatment as a viable alternative and to extend the therapeutic range of the treatment to older ages. The aim of this prospective observational investigation is to evaluate the dimensional and attachment changes that occur in the treated areas and in the autotransplanted teeth respectively of adult patients with permanent teeth with closed apex. All adult patients receiving a dental autotransplantation between the years 2022 and 2023 will be included. Pre-treatment, volume and insertion parameters will be recorded before and one year after treatment. The comparison with the extraction and dental implant treatment will be made using the digital records that are usually obtained during the performance of this treatment. The comparison will be made with the same number of patients who have been recruited for the dental autotransplant treatment, and the volumetric changes that occur will also be analyzed. The volume comparisons will be carried out using the Medit Link digital measurement software (Medit, Seoul, Republic of Korea) and data will be obtained and analyzed statistically in order to draw the appropriate conclusions.
Interventions
PROCEDURETooth Autotransplantation
Place another tooth in the place of the newly extracted tooth in the same patient.
PROCEDUREImmediate implant
Place a dental implant immediately after tooth extraction.
Sponsors
Aula Dental Avanzada
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients in ASA-I health status * Aged between 18 and 80 years, * Present a tooth in need of extraction with a mature candidate donor tooth compatible with the recipient bed * Acceptance of proposed treatment of dental autotransplantation
Exclusion criteria
* Unavailability of a candidate donor tooth * Refusal of proposed treatment of dental autotransplantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Soft tissue volume changes | 2 times measurement: day 0 and 6 months after | Soft tissue volume changes in the buccal side of the site in mm3 |
| Periodontal probing pocket depth | 6 months after | Periodontal probing pocket depth in mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients satisfaction after treatment | 6 months after the reception of the treatment | Satisfaction assessed by Numeric Rating Scale (NRS) form 0 to 10, being 0 not satisfied at all and 10 very satisfied. |
Countries
Spain
Outcome results
None listed