Influencing Factors in Autotransplantation of Teeth with Open Apex: A Review of the Literature

• Main Authors: María P. Pecci Lloret, Elena Pina Martínez, Francisco J. Rodríguez Lozano, Miguel R. Pecci Lloret, Julia Guerrero Gironés, Francesco Riccitiello, Gianrico Spagnuolo
• Format: Article
• Language: English
• Published: MDPI AG 2021-04-01
• Series: Applied Sciences
• Subjects: tooth autotransplantation; open apex; influencing factors; immature apex; young patients
• Online Access: https://www.mdpi.com/2076-3417/11/9/4037

Dental autotransplantation is the process by which a tooth located in its natural socket is extracted and relocated to another socket in which the tooth is missing or has been extracted due to various reasons such as trauma, extensive caries or periapical pathology, among other reasons. This proposed technique offers a more conservative alternative for patients in comparison with prosthetic or implant techniques, especially in young patients where implants are contraindicated until their maxillary bone system’s growth ends. Thus, the objective of this review was to present a qualitative synthesis of the risk factors that influence the results of open apex dental autotransplantation in humans. After confirming that there are various factors that influence dental autotransplantation, it was concluded that the extra-alveolar time of the donor tooth and the periodontal damage of the root of the donor tooth are the factors of greatest interest in the literature, both closely linked to the use of 3D replication of the transplanted tooth.