A carregar...
Publicação
Taxa de sucesso e sobrevivência de autotransplantes dentários : uma revisão sistemática
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.9 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Os autotransplantes dentários consistem num procedimento utilizado com o objetivo de restaurar espaços edêntulos, sendo que esta reabilitação é feita com o próprio dente do paciente.
Objetivo: Determinar as médias globais das taxas de sucesso e sobrevivência de dentes autotransplantados com formação completa e incompleta da raiz, através de uma revisão sistemática e meta-análise.
Materiais e Métodos: Foi realizada a pesquisa sistemática a partir de três bases de dados universais sendo elas o PubMed, B-on e Scopus, utilizando os termos Mesh: “Tooth”, “Autotransplantation”, “Prognosis”, “Survival”, “Success”, “Incidence” e “Prevalence” de forma combinada. Foram definidos e aplicados critérios de inclusão e exclusão para os estudos encontrados. As meta-análises, meta-regressões e gráficos associados foram realizados no software Open Meta [Analyst]. De uma forma geral, os resultados estatísticos foram considerados como sendo significativos sempre que p < 0.05.
Resultados: Dos 24 artigos retrospetivos e prospetivos analisados, em termos gerais, a taxa de sucesso média foi de 76.7% enquanto que a taxa de sobrevivência foi de 88.0%. O fator Intervalo de Follow-up demonstrou ter um efeito significativo em ambas as taxas, à medida que o Tempo de Follow-up aumenta, verifica-se uma diminuição da as taxas de sucesso e de sobrevivência. A formação da raiz demonstrou-se como sendo um fator significativo para a taxa de sobrevivência, sendo que esta foi mais elevada nos dentes com formação incompleta das raízes.
Conclusão: As taxas de sucesso e sobrevivência elevadas sugerem que o autransplante dentário pode ser considerado uma boa opção de tratamento para a substituição dentária, indiscutivelmente mais adequada do que as próteses fixas ou removíveis.
Dental autotransplants are a procedure used to restore edentulous spaces, and this rehabilitation is done with the patient's own tooth. Objective: To determine the success and survival rates of autotransplanted teeth with complete and incomplete root formation through a systematic review and meta-analysis. Materials and Methods: A systematic search was performed from three universal databases, PubMed, B-on and Scopus, using the following Mesh words: "Tooth", "Autotransplantation", "Prognosis", "Survival", "Success", "Incidence" and "Prevalence" in combination. Exclusion and inclusion criteria were defined and applied for the studies found. The statistics and plotting of the meta-analyses and meta-regressions were performed using Open Meta [Analyst] software. In general, statistical results were considered significant whenever p < 0.05. Results: Of the 24 retrospective and prospective articles analyzed, overall, the average success rate was 76.7% while the survival rate was 88.0%. The factor Follow-up interval was shown to have a significant effect on both rates, as the follow-up time increases, the success and survival rates decrease. Root formation was shown to be a significant factor in the survival rate, which was higher in teeth with incomplete root formation. Conclusion: The high success and survival rate suggests that dental autotransplantation can be considered a treatment option for tooth replacement that is arguably more suitable than fixed or removable prostheses.
Dental autotransplants are a procedure used to restore edentulous spaces, and this rehabilitation is done with the patient's own tooth. Objective: To determine the success and survival rates of autotransplanted teeth with complete and incomplete root formation through a systematic review and meta-analysis. Materials and Methods: A systematic search was performed from three universal databases, PubMed, B-on and Scopus, using the following Mesh words: "Tooth", "Autotransplantation", "Prognosis", "Survival", "Success", "Incidence" and "Prevalence" in combination. Exclusion and inclusion criteria were defined and applied for the studies found. The statistics and plotting of the meta-analyses and meta-regressions were performed using Open Meta [Analyst] software. In general, statistical results were considered significant whenever p < 0.05. Results: Of the 24 retrospective and prospective articles analyzed, overall, the average success rate was 76.7% while the survival rate was 88.0%. The factor Follow-up interval was shown to have a significant effect on both rates, as the follow-up time increases, the success and survival rates decrease. Root formation was shown to be a significant factor in the survival rate, which was higher in teeth with incomplete root formation. Conclusion: The high success and survival rate suggests that dental autotransplantation can be considered a treatment option for tooth replacement that is arguably more suitable than fixed or removable prostheses.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Dente Autotransplante Sobrevivência Sucesso