Dental Auto Transplantation: A Promising Treatment for Public Health System

Abstract

Introduction: Tooth autotransplantation is a biological and innovative technique for the rehabilitation of compromised or missing teeth. It involves the surgical repositioning of healthy teeth in the dental arch to restore the functions of the stomatognathic system. Despite being a promising technique, few professionals have performed dental autotransplantation in clinical practice. Aim: To review the literature and evaluate the clinical success rate and factors associated with the technique of dental autotransplantation, focusing on its application especially in the Brazilian public health system. Methods: Articles were searched in PubMed (Medline), Scielo and Google Scholar databases for a period of 10 years (2012- 2022) by two independent authors. Clinical studies and case series about dental autotransplantation presenting more than 10 patients older than eight years, and a follow-up longer than one year were included. Results: A total of 320 articles were eligible for inclusion, of which 57 were selected for full-text evaluation. Fifteen articles were included in this review. A total of 1048 patients were reported in the articles, with an age range of 8 to 58 years and a followup of 1 to 29 years. The mean success rate was 86.79%. Molars were the most commonly used teeth for autotransplantation. Conclusion: Dental autotransplantation has high success rates and proves to be an excellent, low-cost therapeutic option that should be promoted in clinical practice, especially in the public service.