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Taxa de sucesso e sobrevivência de autotransplantes dentários : uma revisão sistemática
| Name: | Description: | Size: | Format: | |
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| 1.9 MB | Adobe PDF |
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Abstract(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.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Dente Autotransplante Sobrevivência Sucesso