Autotransplantation using Dynamic Navigation with Dr. Felipe Restrepo Part 1 of 2
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- čas přidán 1. 07. 2023
- Dr. Nasseh has a conversation with Dr. Felipe Restrepo on the topic of dynamic navigation used to perform autotransplantation. You can watch Part 2 of this interview here: • Autotransplantation us...
This is a great use of technology and i can see a use for it . I like how with technology we are being able to do things better with higher reliability
Great video, Dr. Nasseh
I did one tooth autotrasplantation on a 16 year old patient, we transplanted the 18 to the place of the 16, it had incomplete root formation and to this day (four years later) the 18 is still responding to cold and the root continued its development, root canal treatment was not necessary and I have the case posted on my IG. I'm just curious on why Dr Restrepo doesn't have older cases and follow ups longer than 3 years. He should show those.
The key about success or not in these cases is if the Apical papilla and it’s associated stem cells are still present (immature Apecies) vs. mature Apecies. You can see a video interview I did with Dr Ian Grayson with a tooth that remained vital a few years ago.
But great job if you did a similar case! Well done! 👍❤️
Спасибо за ролики. Это интересные случаи.
Great interview.
I wonder if we do retrograde mta / bioceramic filling right after extraction and before cementation wouldn't be better and more time saving?
You need to complete the RCT first as the retrofilling alone won’t hold back all the dead tissue inside the canal after the tooth is extracted and devitalized. At least it can’t do it predictably as there will be lateral canals and other portals of exit that will cause a problem. So, conventional endo should be done, ideally before extraction or at least shortly after reimplantation. Keep in mind it’s not done outside the mouth. So extra oral time is shortest that way. Cheers!
Incredible case and incredible result!
If you were to use a tooth with an incomplete root formation with the hope of revascularisation
1) what is the minimum root development stage for it to have some primary stability when the splint is removed.
2) what is the mechanism by which the transplanted tooth is able to "reconnect" with the main blood supply and remain vital?
Good questions. I think the epithelial root sheet must have developed partially and the apical follicle be present. It has to create some kind of a seal around the alveolar crest or be somewhat subcrestal for it to work.
Thanks Dr Nasseh!
Interesting case. Would the success rate/efficiency of the procedure drop if we used a static guide with the 3D model instead of a DNS? Thank you
It shouldn’t. As long as extra oral time remains the same and minimum amount of bone is removed beyond what’s needed to create the shape for the recipient site.
@@AANasseh Thank you doctor.
now this is a niceee case ... c'mon now , how many of theese can you do ?! and let s see it after 4 years and then discuss it ;)
I've seen these teeth last 50 years! There's a dentist who shared a case with me that he had done in the 1960's and the patient still had the tooth! I was going to interview him a couple of years ago and then suddenly COVID hit and we couldn't do the interview! So, if they last the first year they can potentially last a long time.
@@AANasseh well come to think about it , you may be right !
Let me just shut up.. watch .. if Dr Ali is interviewing.. let me keep mum and learn