* All times are based on Europe/Copenhagen CET.
Europe/Copenhagen
2 parallel sessionsUsing a selection of complex paediatric dental trauma cases, we will review current controversies in paediatric tooth transplantation. We will explore the directions for future transplant research and clinical practice, and consider how we can learn from the past.
Europe/Copenhagen
Dental implants have been a reliable solution for tooth loss for over 50 years, evolving into a key tool in the prosthodontic arsenal. However, despite advancements, implant-supported restorations present a distinct set of complications when compared to prosthodontics on natural teeth. This presentation will focus on the prosthodontic aspects of implant treatment, exploring the complications that can arise such as mechanical failures and the challenges in maintaining peri-implant health. We'll examine the latest data on complication rates specific to the prosthodontic phase, including challenges related to prosthesis design, material fatigue, and patient-specific factors that can affect the long-term success of implant-supported restorations. Practical strategies for preventing these complications will also be discussed, with a focus on evidence-based practices that enhance the prognosis of prosthodontic treatments. This presentation aims to equip dental professionals with the knowledge and tools needed to anticipate, prevent, and address complications effectively, thereby improving the prognosis for patients undergoing implant therapy.
Europe/Copenhagen
2 parallel sessionsDuring the last 33 years, the workflow of of autotransplantation of teeth has internationally in general followed the workflow of J.O. Andreasen at the University hospital of Copenhagen, described in 1991, and considered to be the gold standard of tooth transplantation since then. Major recent long-term studies including life-table analysis, meta- and umbrella-analysis of controlled data materials in most major series of autotransplantation of teeth (including more than 4000 transplantations, followed up to 47 years), have revealed a series of relevant prognostic factors of various significance on the long term “survival” and “success” of tooth transplantations. With the limitations in comparison of such different data materials demand, some of the factors with potentially significant impact on long-term survival will be presented, including: Root development of the graft, tooth type, endodontic treatment, antibiotics, experience of the surgeon, private practice vs. university clinics vs. hospital setting, pre- and postoperative orthodontic treatment, and other factors of relevance to the long term satisfactory survival and function of transplanted teeth. Complications like ankylosis, necrosis of the obliterated pulp and invasive cervical resorption has been demonstrated to be diagnosed after many years in long-term follow up after transplantation to the maxillary front. The latest retrospective study of the Copenhagen cohort up to 37 years, it is possible to treat even obliterated pulp with endodontics, We found ankylosis in 16%, a complication that hitherto eventually lead to loss of the grafted tooth. However, by modification of the Andreasen-gold standard of workflow, even ankylosis of premolars transplanted to the anterior maxilla can be avoided, as reported by the Rotterdam transplantation team, achieving predictable long lasting satisfactory results to the patients. Our experience show that even cryopreserved teeth can be autotransplanted with documented clinical function and normal pulp and periodontal ligament similar to fresh grafts for up to 34 years after autotransplantation, following initial cryopreservation of the tooth graft for 5 years before transplantation.
Europe/Copenhagen
Autotransplantation of teeth to the esthetic zone requires a careful balance between achieving clinical success and meeting patient expectations for esthetics and function. This presentation will review the current literature on patient-reported outcomes (PROs) related to autotransplanted teeth in the esthetic zone, summarizing what is known about patient satisfaction and the factors influencing perceived success. In addition, findings from a long-term follow-up study involving 50 patients with 61 autotransplanted teeth will be presented. The study focuses on identifying the aspects that patients consider most important, including aesthetic appearance, functional performance, and overall satisfaction with the procedure. These insights will be discussed in terms of their clinical relevance, offering guidance on how practitioners can use patient feedback to enhance treatment outcomes and improve the overall patient experience in autotransplantation to the esthetic zone.
