Este metaanálisis evalúa la supervivencia de la autotransplantación dental intencionada en dientes con formación radicular incompleta, un procedimiento relevante para la rehabilitación de la pérdida dental, especialmente en pacientes en crecimiento. La revisión electrónica y el análisis conjunto de 14 estudios, siguiendo las directrices PRISMA, revelaron una tasa de supervivencia global del 97.9%. Se observaron altas tasas de supervivencia a 1, 2, 5 y 10 años (98%, 97%, 95.9% y 96.9% respectivamente), indicando que la autotransplantación en una sola fase y en dientes inmaduros es una técnica predecible y con baja tasa de complicaciones. Los resultados consolidan la autotransplantación dental como un recurso seguro y fiable para la práctica clínica.
To determine the survival of intentional autotransplantation of developing teeth. An electronic search was carried out in the MEDLINE database, Web of Science, and Cochrane Library. The criteria used are the ones described in the PRISMA Declaration. The following MeSH terms were used: ("tooth" [MeSH Terms] OR "tooth" [All Fields]) AND ("transplantation, autologous" [MeSH Terms] OR ("transplantation" [All Fields] AND "autologous" [All Fields]) OR "autologous transplantation" [All Fields] OR "autotransplantation" [All Fields]) AND ("humans" [MeSH Terms]. Randomised clinical trials and prospective and retrospective clinical studies were included. The meta-analytic study of overall survival included a total of 14 studies, yielding an overall survival rate of 97.9%. In studies with 1-year follow-ups, survival was 98%. The resulting 2-year follow-up rate was 97%, while the 5- and 10-year survival rates were 95.9% and 96.9%, respectively. The autotransplantation technique performed in a single-phase and on teeth that have not completed their development is a predictable technique, with a described survival rate at a 2-year follow-up of more than 97%. The technique of dental autotransplantation is considered an important resource for the resolution and rehabilitation of tooth loss in patients, especially in those who are still in a growth period. Moreover, this technique has a low complication rate and a 10-year survival rate of 96.9%. It should therefore be considered a safe and reliable procedure.