Format

Send to

Choose Destination
J Endod. 2015 Jul;41(7):992-8. doi: 10.1016/j.joen.2015.01.004. Epub 2015 Mar 3.

Survival of Intentionally Replanted Teeth and Implant-supported Single Crowns: A Systematic Review.

Author information

1
Loma Linda University School of Dentistry, Loma Linda, California. Electronic address: mtorabinejad@llu.edu.
2
Private Practice Limited to Endodontics, Riverton, Utah.
3
Private Practice Limited to Endodontics, Bismarck, North Dakota.
4
Loma Linda University School of Dentistry, Loma Linda, California.
5
School of Public Health, Loma Linda University, Loma Linda, California.
6
UCLA School of Dentistry, Los Angeles, California.

Abstract

INTRODUCTION:

Although nonsurgical initial root canal treatment and retreatment have high success rates, periapical disease can remain. The survival rates of 2 surgical procedures, intentionally replanted (IR) teeth and implant-supported single crowns (ISCs), have yet to be compared. The purpose of this systematic review and meta-analysis was to examine the literature and quantify the survival of IR teeth and compare it with that of ISCs.

METHODS:

Systematic searches were enriched by citation mining. Weighted survival means and 95% confidence intervals (CI) were estimated using a random-effects model and compared.

RESULTS:

The quality of the IR and ISC articles was only moderate. Data for ISCs were much more plentiful than for IR teeth. Meta-analysis revealed a weighted mean survival of 88% (95% CI, 81%-94%) for IR teeth. Root resorption was reported with a mean prevalence of 11%. The weighted mean survival of ISCs was 97% (95% CI, 96%-98%). The mean survival of ISCs was significantly higher than that of IR teeth (P < .001). A recent study on IR teeth indicated that orthodontic extrusion before intentional replantation improved survival rates.

CONCLUSIONS:

A systematic review and meta-analysis found that the mean survival of ISCs was significantly higher than IR teeth. However, treatment decisions must be based on a wide variety of treatment and patient-specific parameters. Intentional replantation may have a role when ISC is not practicable. Studies using contemporary treatment and analytic methods should be used to identify and measure intentional replant prognostic and treatment variables.

KEYWORDS:

Implant-supported single crowns; intentionally replanted teeth; survival; systematic review

PMID:
25742795
DOI:
10.1016/j.joen.2015.01.004
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center