Computer-aided autotransplantation of teeth with 3D printed surgical guides and arch bar: a preliminary experience

• Published in: PeerJ (San Francisco, CA) CA), 2018-11, Vol.6, p.e5939-e5939, Article e5939
• Main Authors: He, Wei, Tian, Kaiyue, Xie, Xiaoyan, Wang, Enbo, Cui, Nianhui
• Format: Article
• Language: English
• Subjects: 3D printing; Accuracy; Ankylosis; Autografts; Autotransplantation of teeth; Computer-aided surgical simulation; Dentistry; Feasibility studies; Hospitals; Jaw; Ligaments; Mastication; Maxillofacial surgery; Medical prognosis; Methods; Patients; Software; Studies; Success; Surgery; Surgical guide; Survival; Teeth; Three-dimensional printing; Tomography; Transplants & implants
• ISSN: 2167-8359; 2167-8359
• DOI: 10.7717/peerj.5939

Autotransplantation of teeth is a method to restore the missing teeth and computer-aided techniques have been applied in this field. The aim of this study was to describe a novel approach for computer-aided autotransplantation of teeth and to preliminarily assess its feasibility, accuracy, and stability. Eight wisdom teeth with complete root formation of eight adult patients were autotransplanted. Individual replicas of donor teeth with local splints, surgical templates, and arch bars were virtually designed and fabricated using three-dimensional printing, these were then applied in the autotransplantation surgeries. Clinical and radiological outcomes were observed, the extra-alveolar time, success rate, and 1-year survival rate were analyzed, and accuracy and stability of this approach were evaluated. The extra-alveolar time of donor teeth were less than 3 min. The average follow-up duration was 2.00 ± 1.06 years. All autotransplanted teeth showed normal masticatory function. Ankylosis was found in one patient, and the overall success rate was 87.5%, whereas the 1-year survival rate was 100%. Linear differences between the designed and the immediate autotransplanted positions at crowns and apexes of the donor teeth were 1.43 ± 0.57 and 1.77 ± 0.67 mm, respectively. Linear differences between immediate and the stable positions at crowns and apexes of the donor teeth were 0.66 ± 0.36 and 0.67 ± 0.48 mm, respectively. The present study illustrated the feasibility, clinical satisfied accuracy, and stability of a novel approach for computer-aided autotransplantation of teeth. This new approach facilitated the surgical procedure and might be a viable and predictable method for autotransplantation of teeth.