Autogenous teeth used for bone grafting: A systematic review

doi:10.4317/medoral.22197

Q2 · DentistryImpact Factor · 2.165

AutoresPatricia Gual-Vaqués, Carlos Polis-Yanes, Albert Estrugo‐Devesa, Raúl Ayuso‐Montero, Antonio Marí-Roig, José López‐López

Por qué importa

Esta revisión sistemática analiza la utilización de dientes autógenos como material de injerto óseo para la elevación del reborde alveolar, un procedimiento relevante en la implantología. Se evaluaron la estabilidad primaria y secundaria de implantes, las complicaciones postoperatorias, las tasas de supervivencia y fracaso, y los hallazgos histológicos. Aunque el estudio identifica la dehiscencia de la herida como la complicación más frecuente, los resultados en cuanto a la estabilidad de los implantes y la formación ósea son prometedores, con una tasa de supervivencia del 97.7%. Sin embargo, la evidencia actual es limitada para extraer conclusiones definitivas, lo que subraya la necesidad de más investigación para consolidar la seguridad y eficacia de esta técnica en la práctica clínica.

Abstract original

BACKGROUND: Recently, bone graft materials using permanent teeth have come to light, and clinical and histological outcomes of this material have been confirmed by some studies. The aim of this systematic review was to evaluate the reliability of the autogenous tooth bone graft material applied to alveolar ridge augmentation procedures. MATERIAL AND METHODS: A systematic review of literature was conducted analyzing articles published between 2007 and 2017. The following four outcome variables were defined: a) implant stability b) post-operative complication c) evaluation of implant survival and failure rates, and d) histological analysis. A total of 108 articles were identified; 6 were selected for review. Based on the PICO (problem, intervention, comparison, outcome) model, the chief question of this study was: Can patients with alveolar ridge deficiency be successfully treated with the autogenous teeth used as bone graft? RESULTS: The mean primary stability of the placed implants was 67.3 ISQ and the mean secondary stability was 75.5 ISQ. The dehiscence of the wound was the most frequent complication with a rate of 29.1%. Of the 182 analyzed implants, the survival rate was 97.7% and the failure rate was 2.3%. In the histological analysis, most of studies reported bone formation. CONCLUSIONS: There is insufficient evidence regarding the effects of autogenous teeth used for bone grafting to support any definitive conclusions, although it has been shown clinically safe and good bone forming capacity, and good results are shown about implant stability.

Leer texto completo ↗DOI · 10.4317/medoral.22197

Autor Doctor&Cols

Carlos Polis Yanes
Cirugía Oral e Implantología

Cómo citar

Gual-Vaqués P, Polis-Yanes C, Estrugo‐Devesa A, Ayuso‐Montero R, Marí-Roig A, López‐López J. Autogenous teeth used for bone grafting: A systematic review. Medicina oral, patología oral y cirugía bucal. 2017. doi:10.4317/medoral.22197