A LONG-TERM STUDY OF 370 AUTOTRANSPLANTED PREMOLARS .2. TOOTH SURVIVAL AND PULP HEALING SUBSEQUENT TO TRANSPLANTATION

被引:308
作者
ANDREASEN, JO
PAULSEN, HU
YU, Z
BAYER, T
SCHWARTZ, O
机构
[1] Department of Oral Surgery and Oral Medicine, University Hospital, (Rigshospitalet), Copenhagen
[2] Department of Orthodontics, Municipal Dental Health Service, Copenhagen
[3] Faculty of Stomatology, Beijing
[4] Statistical Research Unit, University of Copenhagen, Copenhagen
[5] Department of Oral and Maxillofacial Surgery, Dental School, Copenhagen
关键词
D O I
10.1093/ejo/12.1.14
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The purpose of the present investigation was to determine the long-term prognosis of autotransplanted premolars with respect to tooth survival and pulpal healing. The material consisted of 195 patients aged 7 to 35 years, with a total of 370 autotransplanted premolars with observation period ranged from 1 to 13 years. Teeth transplanted with incomplete and complete root formation showed 95 per cent and 98 per cent long-term survival respectively: Pulp healing as evaluated by sensibility testing and radiographic signs of partial pulp canal obliteration was usually verified 6 months after transplantation. The frequency of pulpal healing (versus pulp necrosis), appeared to be closely related to stage of root development at time of transplantation. Teeth transplanted with incomplete and complete root formation showed 96 per cent and 15 per cent pulp healing respectively. Another and associated factor which could equally well predict pulpal healing was the diameter of the apical foramen of the graft. Finally, in teeth with completed root formation, the use of burs with internal cooling and no extra-alveolar storage prior to transplantation seemed to increase the chance for pulpal healing. The present study indicates, that the size of the apical foramen and possibly the avoidance of bacterial contamination during the surgical procedure are explanatory factors for pulpal healing. © 1990 European Orthodontic Society.
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页码:14 / 24
页数:11
相关论文
共 16 条
[1]  
Andreasen F.M., Andreasen J.O., Diagnosis Of luxation injuries: The importance of standardized clinical, radiographie and photographie techniques in clinical investigations, Endodontics Dental Traumatology, 5, pp. 160-169, (1985)
[2]  
Andreasen F.M., Vestergaard Pedersen B., Prognosis Of luxated permanent teeth—the development of pulp necrosis, Endodontics Dental Traumatology, 1, pp. 207-220, (1985)
[3]  
Andreasen F.M., Yu Z., Thomsen B.L., Relationship Between pulp dimensions and development of pulp necrosis after luxation injuries in the permanent dentition, Endodontics Dental Traumatology, 2, pp. 90-98, (1986)
[4]  
Andreasen J.O., Paulsen H.-U., Yu Z., Bayer T., Schwartz O., A Long term study of 370 autotransplanted premolars. Part I. Surgical procedure and standardized techniques for monitoring healing, European Journal Of Orthodontics, 12, pp. 3-13, (1990)
[5]  
Kirschner H., Bolz U., Michel G., Thermometrische Untersuchungen mit innen- und ungekuhlten Bohrem an Kieferknochen und Zahnen, Deutsche Zahnartzliche Zeitschrift, 39, pp. 30-32, (1984)
[6]  
Kristerson L., Autotransplantation Of human premolars. A clinical and radiographic study of 100 teeth, International Journal Of Oral Surgery, 14, pp. 200-213, (1985)
[7]  
Kristerson L., Andreasen J.O., The Effect of splinting upon periodontal and pulpal healing after autotransplantation of mature and immature permanent incisors in monkeys, International Journal Of Oral Surgery, 12, pp. 239-249, (1983)
[8]  
Kristerson L., Andreasen J.O., Influence Of root development on periodontal and pulpal healing after replantation of incisors in monkeys, International Journal Of Oral Surgery, 13, pp. 313-323, (1984)
[9]  
Kristerson L., Andreasen J.O., Autotransplantation And replantation of tooth germs in monkeys. Effect of damage to the dental follicle and position of transplant in the alveolus, International Journal Of Oral Surgery, 13, pp. 324-333, (1984)
[10]  
Lavelle C., Wedgwood D., Effect Of internal irrigation of frictional heat generated from bone drilling, Journal Of Oral Surgery, 38, pp. 499-503, (1980)