Sobrevivência e sucesso de autotransplante dentário em pacientes ortodônticos: revisão sistemática de casos clínicos controlados

Abstract

The focus of this systematic review was to evaluate dental autotransplant in patients undergoing orthodontic treatment. An electronic search was performed in the PubMed, Scopus, Web of Science, Medline Complete, Cochrane, Trials Central, and Clinical Trials databases, without limitation on year of publication or language. For the screening of articles considered indications, surgical planning, orthodontic movement, risk factors for treatment, long-term follow-up. For outcomes, we considered the results regarding teeth, alveolar bone, periodontal tissues and aesthetic satisfaction. The risk of bias was assessed using the Methodological Index for Nonrandomized Studies (MINORS). Results showed 10 controlled clinical trials (RCTs), randomized controlled trials (RCTs) were not found. Selected studies included data from 715 patients and 934 autotransplants distributed over long-term premolars, molars, and anterior teeth indicating that autotransplant-associated orthodontics indicate a clinically acceptable overall outcome. The quality of the evidence set was considered low due to the presence of methodological problems, high risk of bias and heterogeneity in the included articles. There is sufficient evidence to justify autotransplantation in patients in need of orthodontic movement. Studies have shown that root resorption influenced by the orthodontic appliance is expected, but without impacting the overall long-term clinical outcome.