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A Systematic Review of the Survival of Teeth Intentionally Replanted with a Modern Technique and Cost-effectiveness Compared with Single-tooth Implants

Published:October 20, 2017DOI:https://doi.org/10.1016/j.joen.2017.08.019

      Highlights

      • First systematic review on survival rate of teeth intentionally replanted with a modern technique and first cost-effectiveness analysis of intentionally replanted teeth.
      • Survival rate of intentionally replanted teeth is 89.1%.
      • Intentional replantation is more cost-effective than a single-tooth implant.
      • When nonsurgical and surgical retreatments are not possible, intentional replantation is an alternative to extraction and replacement with a single-tooth implant.

      Abstract

      Introduction

      The aim of this study was to investigate the survival rate of teeth intentionally replanted with a modern technique and to compare their cost-effectiveness with that of single-tooth implants.

      Materials and Methods

      Four databases were systematically searched for articles that met inclusion criteria published between January 1966 and February 2017. Overall survival rate of intentional replantation was determined through a meta-analysis using a random-effects model. Cost of different procedures was determined from the 2016 American Dental Association Dental Fees Survey. Cost-effectiveness analysis was performed for different treatment modalities.

      Results

      Six studies met the inclusion criteria. Meta-analysis resulted in a survival rate of 89.1% (95% confidence interval, 83.8%–94.4%). Compared with a single-tooth implant, intentional replantation was more cost-effective even when custom post/core and crown are also needed.

      Conclusion

      The meta-analysis revealed a high survival rate for intentional replantation. Although the survival rate of implants is higher, intentional replantation is a more cost-effective treatment modality. Intentional replantation should be a treatment option discussed with patients, especially because an implant can still be placed if intentional replantation is unsuccessful.

      Key Words

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