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Clinical procedures and outcome of surgical extrusion, intentional replantation and tooth autotransplantation - a narrative review.
International Endodontic Journal ( IF 5 ) Pub Date : 2020-09-01 , DOI: 10.1111/iej.13396
G Plotino 1 , F Abella Sans 2 , M S Duggal 3 , N M Grande 4 , G Krastl 5 , V Nagendrababu 6 , G Gambarini 1
Affiliation  

Surgical extrusion is defined as the procedure in which the remaining tooth structure is repositioned at a more coronal/supra-gingival position in the same socket in which the tooth was located originally. Intentional replantation is defined as the deliberate extraction of a tooth and after evaluation of root surfaces, endodontic manipulation and repair, placement of the tooth back into its original position. Tooth autotransplantation is defined as the transplantation of an unerupted or erupted tooth in the same individual, from one site to another extraction site or a new surgically prepared socket. The advent of titanium implant rehabilitation has reduced the use of these treatments in day-by-day clinical practice; however, the re-emerging trend to conserve and preserve natural sound tissues has led to a rediscovery of these treatments. All three distinct surgical methods are closely related, as they act to treat teeth that cannot be predictably treated using other more conventional procedures in endodontics, periodontics and restorative dentistry. Furthermore, these procedures share the same treatment approach and include the atraumatic extraction of a tooth, visual inspection of the tooth/root and its subsequent replantation. The clinical procedures for surgical extrusion, intentional replantation and tooth autotransplantation treatment have undergone several changes in recent years and currently there are no clear clinical treatment protocols/guidelines available. The clinician should be aware of the outcome of these treatments. Hence, the aim of this narrative review is to provide the background, clinical procedures and outcomes of surgical extrusion, intentional replantation and tooth autotransplantation.

中文翻译:

手术挤压,有意再植和牙齿自体移植的临床程序和结果-叙述性评论。

外科手术的挤出定义为将剩余牙齿结构重新定位在原来牙齿所在的同一牙槽中更冠状/龈上位置的过程。有意再植定义为故意拔出牙齿,并在评估根部表面,牙髓治疗和修复后,将牙齿放回其原始位置。牙齿自体移植定义为同一个人中一颗或一颗未萌出的牙齿从一个部位移植到另一处拔牙部位或通过新的外科手术准备的窝进行的移植。钛植入物修复的出现减少了日常临床实践中对这些治疗方法的使用。然而,保存和保存天然声音组织的重新出现的趋势导致了对这些治疗方法的重新发现。这三种截然不同的手术方法密切相关,因为它们的作用是治疗无法使用其他更常规的牙髓治疗,牙周病和修复性牙科手术来治疗的牙齿。此外,这些程序使用相同的治疗方法,包括无创伤拔除牙齿,目视检查牙齿/根部以及随后的植牙。近年来,外科手术挤压,有意再植和牙齿自体移植治疗的临床程序发生了一些变化,目前尚无明确的临床治疗方案/指南。临床医生应了解这些治疗的结果。因此,本篇叙事综述的目的是提供手术挤压的背景,临床程序和结果,
更新日期:2020-09-01
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