Use of 3D printing in molar autotransplantation – a case report

Czech version

Authors: Š. Dzanová ^1,2 ; J. Vitvar ³ ; L. Čapek ³ ; J. Blecha ^4,5 ; L. Dzan ^4,6
Authors‘ workplace: Stomatologická klinika 3. LF UK a FN Královské Vinohrady, Praha ¹; 1. lékařská fakulta, Univerzita Karlova, Praha ²; Oddělení klinické bio mechaniky, Krajská nemocnice Liberec, a. s. ³; Klinika otorinolaryngologie a maxilofaciální chirurgie 3. LF UK a ÚVN Praha ⁴; 3. lékařská fakulta, Univerzita Karlova, Praha ⁵; Oddělení ústní, čelistní a obličejové chirurgie, Krajská nemocnice Liberec, a. s. ⁶
Published in: Otorinolaryngol Foniatr, 73, 2024, No. 3, pp. 191-196.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl2024191

Overview

The aim of this study is to show the experience with autotransplanted 3D model development and its use during surgery. The development of a 3D model has undergone three phases: building the virtual model, 3D printing and finally sterilisation. A 37-year-old female patient was recommended to our department for treatment of the 2^nd quadrant. After planning the extraction of 26, 27 and consequently autotransplantation of tooth 28 was decided. According to CBCT data, two 3D models of the autotransplanted tooth were built and plasma sterilisation was done. After extraction of 26 and 27, a tooth cavity was prepared for the 3D model phantom and the autotransplantation was finished; extra alveolar time of tooth 28 was only 21 seconds. Healing period had no adverse problems and the patient was very satisfied with the result. Autotransplantation is one of the possible choices when treating malformation or tooth loss. The use of a 3D phantom during surgery leads to shortening of surgery time, thus lowering the risk of periodontal tissue damage by repeated testing of the right size of the tooth position and size.

Keywords:

3D printing – molar autotransplantation

Sources

1. Ahmad I, Al-Harbi F. 3D printing in dentistry 2019/2020. 1st ed. London: Quintessence Publishing 2019.

2. Meglioli M, Naveau A, Macaluso GM et al. 3D printed bone models in oral and cranio-maxillofacial surgery: a systematic review. 3D Print Med 2020; 6 (1): 30. Doi: 10.1186/s41205-020-00082-5.

3. Savková N, Harvan Ľ, Jusku A et al. Souhrn poznatků o 3D tisku a jeho využití v zubním lékařství. Čes stomatol Prakt zubní lék 2021; 121 (2): 55–64. Doi: 10.51479/cspzl.2021.008.

4. Strbac GD, Schnappauf A, Giannis K et al. Guided Autotransplantation of Teeth: A Novel Method Using Virtually Planned 3-dimensional Templates. J Endod 2016; 42 (12): 1844–1850. Doi: 10.1016/j.joen.2016.08.021.

5. Anderson J, Wealleans J, Ray J. Endodontic applications of 3D printing. Int Endod J 2018; 51 (9): 1005–1018. Doi: 10.1111/iej.12917.

6. Xu HD, Miron RJ, Zhang XX et al. Allogenic tooth transplantation using 3D printing: A case report and review of the literature. World J Clin Cases 2019; 7 (17): 2587–2596. Doi: 10.12998/wjcc.v7.i17.2587.

7. Cahuana-Bartra P, Cahuana-Cárdenas A, Brunet-Llobet L et al. The use of 3D additive manufacturing technology in autogenous dental transplantation. 3D Print Med 2020; 6 (1): 16. Doi: 10.1186/s41205-020-00070-9.

8. Ambrósio MFS, Cançado RP, Oliveira BCG et al. Dental autotransplantation as a alternative treatment for the loss of permanent anterior teeth in children. Dental Press J Orthod 2022; 27 (4): e22spe4. Doi: 10.1590/2177-6709.27.4.e22spe4.

9. Al-Rimawi A, EzEldeen M, Schneider D et al. 3D Printed Temporary Veneer Restoring Autotransplanted Teeth in Children: Design and Concept Validation Ex Vivo. Int J Environ Res Public Health 2019; 16 (3): 496. Doi: 10.3390/ijerph16030496.

10. Sharma N, Cao S, Msallem B et al. Effects of Steam Sterilization on 3D Printed Biocompatible Resin Materials for Surgical Guides-An Accuracy Assessment Study. J Clin Med 2020; 9 (5): 1506. Doi: 10.3390/jcm9051506.

11. Honda M, Uehara H, Uehara T et al. Use of a replica graft tooth for evaluation before autotransplantation of a tooth. A CAD/CAM model produced using dental-cone-beam computed tomography. Int J Oral Maxillofac Surg 2010; 39 (10): 1016–1019. Doi: 10.1016/j.ijom.2010.06.002.

12. Shahbazian M, Jacobs R, Wyatt J et al. Validation of the cone beam computed tomographybased stereolithographic surgical guide aiding autotransplantation of teeth: Clinical casecontrol study. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115 (5): 667–675. Doi: 10.1016/j.oooo.2013.01.025.

13. Cousley RRJ, Gibbons A, Nayler J. A 3D printed surgical analogue to reduce donor tooth trauma during autotransplantation. J Orthod 2017; 44 (4): 287–293. Doi: 10.1080/146531 25.2017.1371960.

14. Andreasen JO, Paulsen HU, Yu Z et al. A long--term study of 370 autotransplanted premolars: Part II. Tooth survival and pulp healing subsequent to transplantation. Eur J Orthod 1990; 12 (1): 14–24. Doi: 10.1093/ejo/12.1.14.

15. Lee SJ, Kim E. Minimizing the extra-oral time in autogeneous tooth transplantation: use of computer-aided rapid prototyping (CARP) as a duplicate model tooth. Restor Dent Endod 2012; 37 (3): 136–141. Doi: 10.5395/rde.2012. 37.3.136.

16. Jang JH, Lee SJ, Kim E. Autotransplantation of immature third molars using a computer-aided rapid prototyping model: a report of 4 cases. J Endod 2013; 39 (11): 1461–1466. Doi: 10.1016/j.joen.2013.06.026.

17. Park JM, Tatad JC, Landayan ME et al. Optimizing third molar autotransplantation: applications of reverse-engineered surgical templates and rapid prototyping of three-dimensional teeth. J Oral Maxillofac Surg 2014; 72 (9): 1653–1659. Doi: 10.1016/j.joms.2014.04.012.

18. Honda M, Uehara H, Uehara T et al. Use of a replica graft tooth for evaluation before autotransplantation of a tooth. A CAD/CAM model produced using dental-cone-beam computed tomography. Int J Oral Maxillofac Surg 2010; 39 (10): 1016–1019. Doi: 10.1016/j.ijom. 2010.06.002.

19. Ashkenazi M, Shashua D, Kegen S et al. Computerized three-dimensional design for accurate orienting and dimensioning artificial dental socket for tooth autotransplantation. Quintessence Int 2018; 49 (8): 663–671. Doi: 10.3290/j.qi.a40781.

20. Shahbazian M, Jacobs R, Wyatt J et al. Accuracy and surgical feasibility of a CBCT-based stereolithographic surgical guide aiding autotransplantation of teeth: in vitro validation. J Oral Rehabil 2010; 37 (11): 854–859. Doi: 10.1111/ j.1365-2842.2010.02107.x.

21. Lee KY, Cho JW, Chang NY et al. Accuracy of three dimensional printing for manufacturing replica teeth. Korean J Orthod. 2015; 45 (5): 217–225. Doi: 10.4041/kjod.2015.45.5.217.

22. Khalil W, EzEldeen M, Van De Casteele E et al. Validation of cone beam computed tomography-based tooth printing using different three-dimensional printing technologies. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 121 (3): 307–315. Doi: 10.1016/j.oooo.2015. 10.028.

23. Verweij JP, Jongkees FA, Anssari Moin D et al. Autotransplantation of teeth using computer-aided rapid prototyping of a three-dimensional replica of the donor tooth: a systematic literature review. Int J Oral Maxillofac Surg 2017; 46 (11): 1466-1474. Doi: 10.1016/j.ijom.2017. 04.008.

24. Keightley AJ, Cross DL, McKerlie RA et al. Autotransplantation of an immature premolar, with the aid of cone beam CT and computer-aided prototyping: a case report. Dent Traumatol 2010; 26 (2): 195–199. Doi: 10.1111/j.1600- 9657.2009.00851.x.

25. Kim E, Jung JY, Cha IH et al. Evaluation of the prognosis and causes of failure in 182 cases of autogenous tooth transplantation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100 (1): 112–119. Doi: 10.1016/j.tripleo.2004. 09.007.

ORCID autorů

Š. Dzanová 0000-0002-5425-9929,

J. Vitvar 0009-0009-3825-9177,

L. Čapek 0000-0003-3950-0646,

J. Blecha 0000-0002-5606-8018,

L. Dzan 0000-0003-3034-1845.

Přijato k recenzi: 25. 7. 2023

Přijato k tisku: 27. 11. 2023

MUDr. Ladislav Dzan, Ph.D.

Klinika otorinolaryngologie a maxilofaciální chirurgie

3. LF UK a ÚVN Praha

U Vojenské nemocnice 1200