Evaluation of Bone Growth around Autotransplanted Teeth Using Cone-Beam Computed Tomographic Images

• Published in: Journal of endodontics Vol. 50; no. 5; pp. 590 - 595
• Main Authors: Saiter Assis Beltrame, Ludimila, Delatorre Bronzato, Juliana, Jacy da Silva Almeida, Tereza, Batista Gagno Intra, João, Carneiro Nunes, Fernanda, de Freitas Britto, Cleber, Barcellos de Freitas Coutinho, Natalia, Rangel Zanetti, Glauco, Frozoni, Marcos
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2024
• Subjects: Adolescent; Alveolar bone; Alveolar Process - diagnostic imaging; autologous transplantation; Bicuspid - diagnostic imaging; Bicuspid - transplantation; Child; cone-beam computed tomography; Cone-Beam Computed Tomography - methods; Female; Humans; Incisor - diagnostic imaging; Male; Maxilla - diagnostic imaging; Transplantation, Autologous; cone-beam computed tomography; autologous transplantation; Alveolar bone
• ISSN: 0099-2399; 1878-3554
• DOI: 10.1016/j.joen.2024.02.016

The aim of this observational study was to evaluate bone growth at the recipient site of autotransplanted teeth using cone-beam computed tomography (CBCT) images and to compare it to the control tooth.
Bone growth was measured on CBCT images obtained from the anterior region of the maxilla, which received a single transplant of immature premolars due to early loss of the central incisor. The results were compared to the bone growth of contralateral central incisor that served as control. The sample consisted of 13 autotransplanted teeth and 13 control teeth. It was determined the thickness of the buccal bone of the marginal ridge, the thickness of the palatal bone of the marginal ridge, the height of the maxillary bone, and the thickness of the maxillary bone at its mid-height. The measurements were analyzed statistically, adopting a significance level of 5%.
The mean interval between the dental autotransplantation surgery and the CBCT scan was 16.2 years. The mean thickness of the buccal bone of the marginal ridge, thickness of the palatal bone of the marginal ridge, height of the maxillary bone, and thickness of the maxillary bone at its mid-height were, respectively, 0.85, 0.94, 19.6, and 8.85 mm for autotransplanted teeth and 0.79, 1.09, 18.88, and 8.5 mm for control teeth. There were no significant differences in the bone measurements between autotransplanted and control teeth (P > .05).
The growth of maxillary bone in the region that received the autotransplanted tooth was proportional to that of maxillary bone that supports the contralateral tooth. Thus, autogenous transplantation is efficient in maintaining the bone architecture at the recipient site.