The revascularization potential of the autotransplanted teeth with complete root formation: is root canal therapy always necessary?

Czech version

Authors: J. Marton ^1,2,*; G. Sváková ³; T. Kovalský ^1,2; Z. Pokorný ^1,2,3
Authors‘ workplace: Korespondující autor ^*; Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého v Olomouci ¹; Klinika zubního lékařství, Fakultní nemocnice Olomouc ²; Dental Sphere, privátní praxe, Olomouc ³
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 125, 2025, 2, s. 27-34
Category: Review Article
doi: https://doi.org/10.51479/cspzl.2025.004

Overview

Introduction and aim: Tooth autotransplantation in adult patients presents a challenge due to the low probability of pulp revascularization, often requiring root canal treatment (RCT). RCT not only complicates the overall procedure, but in some cases makes the procedure unfeasible. The aim of this review is to explore alternative procedures for tooth autotransplantation in adult patients that could eliminate the need for elective RCT of the donor tooth.

Materials: To address this question, the authors conducted a literature search in the online databases Scopus, Web of Science, and MEDLINE.

Results: The current protocols involve performing RCT before or 14 days after surgery. Recent studies that follow these protocols show high predictability and success rate. An alternative approach is to initiate RCT only in the case of postoperative complications. However, this protocol poses challenges in the postoperative assessment of the clinical condition of the pulp. To enhance the potential for pulp revascularization, an extraoral root-end resection (EORR) may be performed.

Conclusion: For clinical practice, proper case selection, including consideration of endodontic anatomy, is crucial. The risk of complications associated with alternative approaches outweighs their potential benefits compared to current protocols. EORR, combined with methods enabling an objective measurement of pulp revascularization, may offer opportunities for further research.

Keywords:

tooth autotransplantation, complete root formation, root canal treatment, revascula-rization, extraoral root-end resection

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Czech Dental Journal

2025 Issue 2