Autotransplantation of Third Molars With Platelet-Rich Plasma for Immediate Replacement of Extracted Non-Restorable Teeth: A Case Series

Jorge Gonzalez-Ocasio, Mark R Stevens

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose The aim of this study was to examine the use of platelet-rich plasma (PRP) for autotransplantation of third molars as a successful technique to provide immediate tooth structure for space maintenance and masticatory function when premature loss of a permanent tooth occurs and other dental restorative options are not indicated. Materials and Methods This study included 10 healthy patients 10 to 17 years of age with at least 1 immature third molar (one to two thirds of root formation) used to replace extracted non-restorable teeth. Eleven third molars were transplanted and adapted to sockets of the extracted teeth with the adjunct of PRP. Transplanted teeth were stabilized to the adjacent teeth using orthodontic wires and dental composite for 1 month. Patients were followed for 1 year. Function, tooth vitality, root development, and periodontal health were recorded. Results All 10 patients had functioning asymptomatic transplanted teeth, with physiologic tooth mobility after splint removal at 1 month and after 1 year. All 10 patients had positive tooth vitality (by cold test) at 3, 6, and 12 months; all transplants showed positive root development (average growth, 2.01 mm) confirmed and measured using periapical radiographs. No patients required root canal therapy at any point in the study. Periodontal assessments were performed at the scheduled follow-up appointments with circumferential periodontal probing. Periodontal health was maintained because probing depths were shallower than 4 mm during the 1-year follow-up. Conclusion Autotransplantation of immature third molars with PRP shows excellent results and should be considered a viable option for premature loss of permanent molars. PRP might have other advantages, such as root promotion and neurosensory development.

Original languageEnglish (US)
Pages (from-to)1833.e1-1833.e6
JournalJournal of Oral and Maxillofacial Surgery
Volume75
Issue number9
DOIs
StatePublished - Sep 1 2017

Fingerprint

Platelet-Rich Plasma
Third Molar
Autologous Transplantation
Tooth
Orthodontic Space Maintenance
Tooth Socket
Orthodontic Wires
Tooth Mobility
Root Canal Therapy
Tooth Root
Splints
Health
Growth and Development
Appointments and Schedules
Transplants

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

Autotransplantation of Third Molars With Platelet-Rich Plasma for Immediate Replacement of Extracted Non-Restorable Teeth : A Case Series. / Gonzalez-Ocasio, Jorge; Stevens, Mark R.

In: Journal of Oral and Maxillofacial Surgery, Vol. 75, No. 9, 01.09.2017, p. 1833.e1-1833.e6.

Research output: Contribution to journalArticle

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