Effect of orthodontic treatment on tooth autotransplantation: systematic review of controlled clinical trials

• Autor(a) principal: Rogério Lacerda-Santos
• Data de Publicação: 2020
• Outros Autores: Rhaíssa Ferreira Canutto, José Lucas Dos Santos Araújo, Fabiola Galbiatti de Carvalho, Eliseu Aldrighi Münchow, Taís de Souza Barbosa, Matheus Melo Pithon, Emanuel Braga Rego, Leniana Santos Neves
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/ 10.1055/s-0040-1708329; http://hdl.handle.net/1843/48767
• topic: Systematic review; Orthodontics; Root resorption; Survival rate

This systematic review was focused on evaluating tooth autotransplantation, consider ing its impacts on the teeth, bone, soft tissues, and aesthetics in orthodontic patients. A bibliographic search was conducted without limitations on year of publication or lan guage in the databases of PubMed, Web of Science, Scopus, Medline Complete, Cochrane, Clinical Trials, and Trials Central. For triage of articles, indications, surgical planning, orthodontic movement, risk factors for treatment, and long-term follow-ups were con sidered. For outcomes, the results with reference to teeth, alveolar bone, periodontal tissues, and esthetic satisfaction were considered. Risk of bias was evaluated using the methodological index for nonrandomized studies-MINORS. The results showed 10 con trolled clinical trials, and no randomized clinical trials were found. The selected studies included 715 patients and 934 autotransplanted teeth among which there were premo lars, molars, and anterior teeth evaluated in the long term, indicating that orthodontics associated with autotransplantation indicated a result that was generally clinically accept able. The quality of the set of evidence was considered medium due to the presence of different methodological problems, risk of bias, and significant heterogeneity in the evaluated studies. There was a sufficient body of evidence that justified autotransplan tation in patients who needed orthodontic movement. In teeth, there was an increase in root resorption influenced by orthodontics, but without impacting on the general clinical result in the long term. Bone and periodontal tissue do not appear to be affected by orthodontics. The patient’s aesthetic satisfaction was not considered in the studies