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Informationen aus Orthodontie & Kieferorthopädie 2010; 42(2): 105-112
DOI: 10.1055/s-0030-1247415
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© Georg Thieme Verlag Stuttgart ˙ New York

Dentoalveoläres Wachstum beim Fehlen von Zähnen: Autotransplantation von wurzelunreifen Zähnen, kieferorthopädischer Lückenschluss oder Implantatversorgung?

Missing Teeth and Dento-Alveolar Development: Autotransplantation of Developing Teeth, Orthodontic Space Closure or Implants?E. M. Czochrowska1 , P. Plakwicz2 , A. Stenvik3
  • 1Private practice, Warsaw, Poland
  • 2Private practice, Warsaw, Poland
  • 3Department of Orthodontics, University of Oslo, Norway
Further Information

Publication History

Publication Date:
03 August 2010 (online)

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Zusammenfassung

Die Behandlung heranwachsender Personen mit fehlenden Zähnen stellt eine große Herausforderung für die Zahnmedizin dar. Schließlich sollte jedes Behandlungsverfahren zum Ziel haben, den kontinuierlichen Verlauf des Zahnbogens vorzugsweise mit natürlichen Zähnen zu erhalten. Fehlende Zähne können besonders im anterioren Oberkieferbereich für die betroffenen Patienten zu schwerwiegenden funktionellen und ästhetischen Problemen führen. Die Autotransplantation von Zähnen mit nicht abgeschlossenem Wurzelwachstum stellt eine attraktive Alternative zum Ersatz fehlender Zähne dar, deren Ergebnis sich langfristig vorhersagen lässt. Im vorliegenden Beitrag werden die Transplantation von Zähnen, der kieferorthopädische Lückenschluss und die Versorgung mit Implantaten in Hinblick auf Indikation und Behandlungsplanung sowie Vor- und Nachteile miteinander verglichen und mit klinischen Beispielen illustriert.

Abstract

Treatment for missing teeth in growing individuals represents a major challenge for dental professionals because treatment alternatives should aim at preserving the continuity of a dental arch, preferably with natural teeth. Missing teeth, especially in the anterior maxilla, may also lead to severe functional and aesthetic problems for the affected individuals. Autotransplantation of developing teeth is an attractive alternative to replace missing teeth with a predictable long-term outcome. The article provides a comparison between tooth transplantation, orthodontic space closure and dental implants regarding indications, treatment timing and advantages and disadvantages of the various treatment modalities illustrated by clinical examples.

Schlüsselwörter

fehlende Zähne - Zahntransplantation - kieferorthopädischer Lückenschluss - Implantate - Alveolarknochen

Key words

missing teeth - tooth transplantation - orthodontic space closure - dental implants - alveolar bone

Literatur

  • 1 Slagsvold O. Autotransplantation of premolars in cases of missing anterior teeth.  Rep Congr Eur Orthod Soc. 1970;  473-485
    PubMedGoogle Scholar
  • 2 Slagsvold O, Bjercke B. Autotransplantation of premolars with partly formed roots. A radiographic study of root growth.  Am J Orthod. 1974;  66 355-366
    CrossrefPubMedGoogle Scholar
  • 3 Slagsvold O, Bjercke B. Indications for autotransplantation in cases of missing premolars.  Am J Orthod. 1978;  74 241-257
    CrossrefPubMedGoogle Scholar
  • 4 Slagsvold O, Bjercke B. Applicability of autotransplantation in cases of missing upper anterior teeth.  Am J Orthod. 1978;  74 410-421
    CrossrefPubMedGoogle Scholar
  • 5 Czochrowska E M, Stenvik A, Bjercke B et al. Outcome of tooth transplantation: survival and success rates 17–41 years posttreatment.  Am J Orthod Dentofacial Orthop. 2002;  12 110-119
    PubMedGoogle Scholar
  • 6 Czochrowska E M, Stenvik A, Album B et al. Autotransplantation of premolars to replace maxillary incisors: a comparison with natural incisors.  Am J Orthod Dentofacial Orthop. 2000;  118 592-600
    CrossrefPubMedGoogle Scholar
  • 7 Zachrisson B U, Stenvik A, Haanaes H R. Management of missing maxillary anterior teeth with emphasis on autotransplantation.  Am J Orthod Dentofacial Orthop. 2004;  126 284-288
    CrossrefPubMedGoogle Scholar
  • 8 Skoglund A, Tronstad L, Wallenius K. A microangiographic study of vascular changes in replanted and autotransplanted teeth of young dogs.  Oral Surg Oral Med Oral Pathol. 1978;  45 17-28
    CrossrefPubMedGoogle Scholar
  • 9 Skoglund A, Tronstad L. Pulpal changes in replanted and autotransplanted immature teeth of dogs.  J Endod. 1981;  7 309-316
    CrossrefPubMedGoogle Scholar
  • 10 Clauss I, Laureys W, Cornelissen R et al. Histologic analysis of pulpal revascularization of autotransplanted immature teeth after removal of the original pulp tissue.  Am J Orthod Dentofacial Orthop. 2004;  125 93-99
    CrossrefPubMedGoogle Scholar
  • 11 Andreasen J O, Paulsen H U, Yu Z et al. A long-term study of 370 autotransplanted premolars. Part II. Tooth survival and pulp healing subsequent to transplantation.  Eur J Orthod. 1990;  12 14-24
    CrossrefPubMedGoogle Scholar
  • 12 Andreasen J O, Kristerson L. The effect of limited drying or removal of the periodontal ligament. Periodontal healing after replantation of mature permanent incisors in monkeys.  Acta Odontol Scand. 1981;  39 1-13
    CrossrefPubMedGoogle Scholar
  • 13 Andreasen J O, Paulsen H U, Yu Z et al. A long-term study of 370 autotransplanted premolars. Part III. Periodontal healing subsequent to transplantation.  Eur J Orthod. 1990;  12 25-37
    CrossrefPubMedGoogle Scholar
  • 14 Kristerson L. Autotransplantation of human premolars. A clinical and radiographic study of 100 teeth.  Int J Oral Surg. 1985;  14 200-213
    CrossrefPubMedGoogle Scholar
  • 15 Suzaki Y, Matsumoto Y, Kanno Z et al. Preapplication of orthodontic forces to the donor teeth affects periodontal healing of transplanted teeth.  Angle Orthod. 2008;  78 495-501
    CrossrefPubMedGoogle Scholar
  • 16 Bauss O, Zonios I, Engelke W. Effect of additional surgical procedures on root development of transplanted immature third molars.  Int J Oral Maxillofac Surg. 2008;  37 730-735
    CrossrefPubMedGoogle Scholar
  • 17 Paulsen H U, Shi X Q, Welander U et al. Eruption pattern of autotransplanted premolars visualized by radiographic color-coding.  Am J Orthod Dentofacial Orthop. 2001;  119 338-345
    CrossrefPubMedGoogle Scholar
  • 18 Myrlund S, Stermer E M, Album B et al. Root length in transplanted premolars.  Acta Odontol Scand. 2004;  62 132-136
    CrossrefPubMedGoogle Scholar
  • 19 Schwartz O, Bergmann P, Klausen B. Autotransplantation of human teeth. A life-table analysis of prognostic factors.  Int J Oral Surg. 1985;  14 245-258
    CrossrefPubMedGoogle Scholar
  • 20 Kristerson L, Lagerström L. Autotransplantation of teeth in cases with agenesis or traumatic loss of maxillary incisors.  Eur J Orthod. 1991;  13 486-492
    CrossrefPubMedGoogle Scholar
  • 21 Bjerklin K, Al-Najjar M, Kårestedt H et al. Agenesis of mandibular second premolars with retained primary molars: a longitudinal radiographic study of 99 subjects from 12 years of age to adulthood.  Eur J Orthod. 2008;  30 254-261
    CrossrefPubMedGoogle Scholar
  • 22 Stenvik A, Zachrisson B U. Orthodontic closure and transplantation in the treatment of missing anterior teeth. An overview.  Endod Dent Traumatol. 1993;  9 45-52
    CrossrefPubMedGoogle Scholar
  • 23 Tuverson D L. Orthodontic treatment using canines in place of missing lateral incisors.  Am J Orthod. 1970;  58 109-127
    CrossrefPubMedGoogle Scholar
  • 24 Rosa M, Zachrisson B U. Integrating esthetic dentistry and space closure in patients with missing maxillary lateral incisors.  J Clin Orthod. 2001;  35 221-234
    PubMedGoogle Scholar
  • 25 Czochrowska E M, Stenvik A, Zachrisson B U. The esthetic outcome of autotransplanted premolars replacing maxillary incisors.  Dent Traumatol. 2002;  18 237-245
    CrossrefPubMedGoogle Scholar
  • 26 Czochrowska E M, Skaare A B, Stenvik A et al. Outcome of orthodontic space closure with a missing maxillary central incisor.  Am J Orthod Dentofacial Orthop. 2003;  123 597-603
    CrossrefPubMedGoogle Scholar
  • 27 Brånemark P I, Zarb G A, Albrecktsson T. Tissue-Integrated Prostheses. Osseo-integration in Clinical Dentistry. Chicago: Quintessence Publishing Co.; 1985
    PubMedGoogle Scholar
  • 28 Björk A, Skieller V. Facial development and tooth eruption. An implant study at the age of puberty.  Am J Orthod. 1972;  62 339-383
    CrossrefPubMedGoogle Scholar
  • 29 Ödman J, Gröndahl K, Lekholm U et al. The effect of osseointegrated implants on the dento-alveolar development. A clinical and radiographic study in growing pigs.  Eur J Orthod. 1991;  13 279-286
    PubMedGoogle Scholar
  • 30 Thilander B, Ödman J, Gröndahl K et al. Osseointegrated implants in adolescents. An alternative in replacing missing teeth?.  Eur J Orthod. 1994;  16 84-95
    PubMedGoogle Scholar
  • 31 Oesterle L J, Cronin Jr R J, Ranly D M. Maxillary implants and the growing patient.  Int J Oral Maxillofac Implants. 1993;  8 377-387
    PubMedGoogle Scholar
  • 32 Thilander B, Ödman J, Jemt T. Single implants in the upper incisor region and their relationship to the adjacent teeth. An 8-year follow-up study.  Clin Oral Implants Res. 1999;  10 346-355
    CrossrefPubMedGoogle Scholar
  • 33 Bergendal B, Bergendal T, Hallonsten A L et al. A multidisciplinary approach to oral rehabilitation with osseointegrated implants in children and adolescents with multiple aplasia.  Eur J Orthod. 1996;  18 119-129
    CrossrefPubMedGoogle Scholar
  • 34 Brugnolo E, Mazzocco C, Cordioli G et al. Clinical and radiographic findings following placement of single-tooth implants in young patients – case reports.  Int J Periodontics Restorative Dent. 1996;  16 421-433
    PubMedGoogle Scholar
  • 35 Bernard J P, Schatz J P, Christou P et al. Long-term vertical changes of the anterior maxillary teeth adjacent to single implants in young and mature adults. A retrospective study.  J Clin Periodontol. 2004;  31 1024-1028
    CrossrefPubMedGoogle Scholar
  • 36 Fudalej P, Kokich V G, Leroux B. Determining the cessation of vertical growth of the craniofacial structures to facilitate placement of single-tooth implants.  Am J Orthod Dentofacial Orthop. 2007;  131 (4 Suppl) 59-67
    CrossrefPubMedGoogle Scholar
  • 37 Kvint S, Lindsten R, Magnusson A et al. Autotransplantation of teeth in 215 patients.  Angle Orthod. 2010;  80 446-451
    CrossrefPubMedGoogle Scholar
  • 38 Jung R E, Pjetursson B E, Glauser R et al. A systematic review of the 5-year survival and complication rates of implant-supported single crowns.  Clin Oral Implants Res. 2008;  19 119-130
    CrossrefPubMedGoogle Scholar
  • 39 Bauss O, Engelke W, Fenske C et al. Autotransplantation of immature third molars into edentulous and atrophied jaw sections.  Int J Oral Maxillofac Surg. 2004;  33 558-563
    CrossrefPubMedGoogle Scholar
  • 40 Czochrowska E M, Semb G, Stenvik A. Nonprosthodontic management of alveolar clefts with 2 incisors missing on the cleft side: a report of 5 patients.  Am J Orthod Dentofacial Orthop. 2002;  122 587-592
    CrossrefPubMedGoogle Scholar
  • 41 Jemt T. Single implants in the anterior maxilla after 15 years of follow-up: comparison with central implants in the edentulous maxilla.  Int J Prosthodont. 2008;  21 400-408
    PubMedGoogle Scholar
  • 42 Zachrisson B U, Stenvik A. Single implants – optimal therapy for missing lateral incisors?.  Am J Orthod Dentofacial Orthop.. 2004;  126 A13-A15
    CrossrefPubMedGoogle Scholar

Dr. E. Czochrowska

ul. Grzybowska 4 / 1

PL-00-031 Warszawa

Poland

Phone: +48 / (0)2 24 03 55 33

Email: ewa.czochrowska@magres.pl

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