Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review

Abstract

BackgroundImplant patients with congenitally missing teeth share some common charateristics and deserve special attention.MethodsThe PICO question was “In patients with congenitally missing teeth, does an early occlusal rehabilitation with dental implants in comparison to tooth autotransplants, conventional prosthetics on teeth or preservation of deciduous teeth have better general outcomes in terms of survival, success and better patient centered outcomes in terms of quality of life, self-esteem, satisfaction, chewing function?”After electronic database search, a total of 63 relevant studies were eligible, of which 42 qualified for numerical data synthesis, 26 being retrospective studies. A data synthesis was performed by weighted means for survival/success/annual failure rates.ResultsThe mean survival of implants was 95.3 % (prosthesis survival 97.8 %), autotransplants 94.4 %, deciduous teeth 89.6 %, and conventional prostheses 60.2 %. The implant survival in children, adolescents, and adults was 72.4, 93.0, and 97.4 %. Annual failure rates of implants 3.317 %, autotransplants 1.061 %, deciduous teeth 0.908 %, and conventional prostheses 5.144 % indicated better results for natural teeth and more maintenance needs for the both prosthetic treatments. The mean OHIP score was 27.8 at baseline and a mean improvement of 14.9 score points was reported after implant prosthetics. The mean satisfaction rates were 93.4 (implants), 76.6 (conventional prostheses), 72.0 (autotransplants), and 65.5 % (orthodontic space closure).ConclusionsIn synopsis of general and patient-centered outcomes, implants yielded the best results, however, not in children <13 years. Autotransplants and deciduous teeth had low annual failure rates and are appropriate treatments in children and adolescents at low costs. Conventional prosthetics had lower survival/success rates than the other options. Due to heterogeneity and low number of studies, patient-reported outcomes in this review have to be interpreted with caution.

Oral Symptoms and Oral Health-Related Quality of Life in People with Rare Diseases in Germany: A Cross-Sectional Study

“…The combination of multiple dental agenesis, anomalies of tooth formation, and cleft lip and palate has often been reported [ 29 ] and occurs generically in the Ectrodactyly–Ectodermal Dysplasia–Cleft Lip/Palate (EEC) syndrome [ 30 ]. Patients with congenital dental agenesis thus benefit with regard to their OHRQoL from dento-prosthetic rehabilitation, especially if the dentures are anchored to dental implants [ 31 ]. It is well documented that improvement of OHRQoL can be achieved through dental implants [ 32 , 33 ].…”

Tooth autotransplantation as a pillar for 3D regeneration of the alveolar process after severe traumatic injury: A case report

“…One of the main problems with dental implants in children is infraocclusion due to the ankylotic healing of osseointegrated implants and whether the implants can be placed before termination of growth . Terheyden and Wüsthoff compared implants with dental autotransplantation and other treatments in young patients with congenitally missing teeth. In this work, the implants yielded the best results but not in children younger than 13 years.…”

Effect of Orthodontic Treatment on Tooth Autotransplantation: Systematic Review of Controlled Clinical Trials

“…2 Orthodontic treatment with space closure or associated with dental implants is not always accepted by patients, due to longer treatment time involved, localization of missing teeth, and ethical and economic considerations. 3 In these situations, and in the presence of sufficient diastema, tooth autotransplantation may be a suitable clinical choice. Previous studies have described high survival rates of transplanted teeth with complete [4][5][6] root formation and with incomplete rhizogenesis, and have shown few complications with obtaining sufficient final root length.…”