Radicular en autotransplantes dentales: scoping review
Dental autotransplantation is an effective therapeutic alternative for the rehabilitation of young patients with tooth loss. Unlike implants, it preserves vital structures such as the periodontal ligament, promoting more physiological biological integration. Objective: To explore and map the scienti...
| Autores: | , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | Ecuador |
| Recursos: | Universidad Central del Ecuador |
| Repositorio: | Revista Odontología |
| Idioma: | español |
| OAI Identifier: | oai:revistadigital.uce.edu.ec:article/8616 |
| Acesso em linha: | https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/8616 |
| Access Level: | acceso abierto |
| Palavra-chave: | Autotrasplante dental Regeneración reimplante dental Trasplante autólogo Revisión de alcance Dental autotransplantation bone regeneration Dental reimplantation Autologous transplantation Scope revision |
| Resumo: | Dental autotransplantation is an effective therapeutic alternative for the rehabilitation of young patients with tooth loss. Unlike implants, it preserves vital structures such as the periodontal ligament, promoting more physiological biological integration. Objective: To explore and map the scientific evidence on surgical, biological, and root formation factors that influence healing and clinical success of dental autotransplantation in young adults. Methodology: A scoping review was conducted following the PRISMA-ScR guidelines. Articles published between 2015 and 2025 in PubMed, Elsevier, Epistemonikos, and SciELO, focusing on clinical, histological, and biological outcomes in humans, were included. Results: Of the 18 selected studies, clinical success was associated with multiple interrelated factors: atraumatic surgical technique, planning with 3D guides, preservation of the donor tooth in physiological saline solution, appropriate patient selection, and root development status. Immature teeth with 50-75% root formation showed higher revascularization rates and a lower risk of complications. The use of PRF and PRGF promoted healing by stimulating angiogenesis and preserving the viability of the periodontal ligament. Conclusions: Successful dental autotransplantation requires a comprehensive approach that considers both surgical and biological factors. Although there is no standardized technique, the combination of advanced planning, precise patient selection, and adjuvant biomaterials improves the clinical prognosis and the integration of the transplanted tooth. |
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