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Taxa de sobrevivência e sucesso do autotransplante dentário: revisão sistemática
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Objetivo: Determinar as taxas de sobrevivência ao fim de 1, 5 e 10 anos de dentes autotransplantados com formação completa ou incompleta da raiz, assim como a taxa de sucesso e as principais complicações, através de uma revisão sistemática.
Materiais e Métodos: Foi efetuada uma pesquisa na base de dados MEDLINE, através do motor de busca PubMed, desde 01/01/1990 até 05/09/2020, com as palavra-chave “tooth”, “autotransplantation” e “survival”. Foram delineados os critérios de inclusão e exclusão. Calcularam-se as médias das taxas de sobrevivência geral e ao fim de 1, 5 e 10 anos, assim como as taxas de sucesso e complicações. A análise estatística envolveu medidas de estatística descritiva e inferencial.
Resultados: Dos 28 artigos retrospetivos e prospetivos analisados, a taxa de sobrevivência geral para o autotransplante de dentes com formação radicular completa e incompleta foi 91,48%. Ao fim de 1, 5 e 10 anos os valores foram de 98,33%, 91,94% e 88,95%, respetivamente. A taxa de sucesso apresentou uma média de 79,24% e as principais complicações apresentadas foram a reabsorção radicular (19,17%), a necrose pulpar (18,19%) e a anquilose (12,7%). Os valores de sobrevivência a 5 anos foram significativamente mais elevados no grupo de formação radicular incompleta (93,76 vs 62,68), Z = -1,960, p = .050.
Conclusão: A atual evidência disponível demonstra elevadas taxas de sobrevivência e de sucesso para o autotransplante dentário. Dentro das limitações da presente revisão, os resultados sugerem que o autotransplante dentário pode ser considerado uma opção de tratamento para a substituição dentária, especialmente para pacientes em crescimento.
Objective: The objective of this systematic review was to determine survival rates after 1, 5 and 10 years of autotransplanted teeth with complete or incomplete root formation, as well as the success rate and main complications. Materials and Methods: A literature search was conducted in the MEDLINE database, via PubMed search engine, from 01/01/1990 to 05/09/2020, with the keywords "tooth", "autotransplantation" and "survival". Inclusion and exclusion criteria were specified. The 1-, 5-, and 10- year survival rates and the weighted estimated survival, success, and complication rates were calculated. The statistical analysis involved measures of descriptive and inferential statistics. Results: Of the 28 retrospective and prospective articles analyzed, the overall survival rate for autotransplantation of teeth with complete and incomplete root formation was 91,48%. After 1, 5 and 10 years, the values were 98,33%, 91,94% and 88,95%, respectively. The success rate showed an average of 79,24% and the main complications presented were root resorption (19,17%), pulp necrosis (18,19%) and ankylosis (12,7%). The 5-year survival values were significantly higher in the group of incomplete root formation (93.76 vs 62.68), Z = -1,960, p = .050. Conclusion: The current available evidence demonstrates high rates of survival and success for dental autotransplantation. Within the limitations of the present review, the results suggest that dental autotransplantation can be considered a treatment option for dental replacement, especially for growing patients.
Objective: The objective of this systematic review was to determine survival rates after 1, 5 and 10 years of autotransplanted teeth with complete or incomplete root formation, as well as the success rate and main complications. Materials and Methods: A literature search was conducted in the MEDLINE database, via PubMed search engine, from 01/01/1990 to 05/09/2020, with the keywords "tooth", "autotransplantation" and "survival". Inclusion and exclusion criteria were specified. The 1-, 5-, and 10- year survival rates and the weighted estimated survival, success, and complication rates were calculated. The statistical analysis involved measures of descriptive and inferential statistics. Results: Of the 28 retrospective and prospective articles analyzed, the overall survival rate for autotransplantation of teeth with complete and incomplete root formation was 91,48%. After 1, 5 and 10 years, the values were 98,33%, 91,94% and 88,95%, respectively. The success rate showed an average of 79,24% and the main complications presented were root resorption (19,17%), pulp necrosis (18,19%) and ankylosis (12,7%). The 5-year survival values were significantly higher in the group of incomplete root formation (93.76 vs 62.68), Z = -1,960, p = .050. Conclusion: The current available evidence demonstrates high rates of survival and success for dental autotransplantation. Within the limitations of the present review, the results suggest that dental autotransplantation can be considered a treatment option for dental replacement, especially for growing patients.
Descrição
Tese de mestrado, Medicina Dentária, Universidade de Lisboa, Faculdade de Medicina Dentária, 2020
Palavras-chave
Saúde Oral Teses de mestrado - 2020