Ukrainian Dental Journal UDJ en-US Ukrainian Dental Journal 2786-6297 Tooth autotransplantation: review of the relevant procedural aspects for the clinical success <p>Background. Tooth autotransplantation may be considered as valuable treatment option to overcome adverse effects of tooth loss and prevent implant-related complications. The essence of such manipulation based on removing targeted (donor) tooth from its present location with its further placement at some other tooth position within the oral cavity of the same patient in the least traumatic way.</p> <p>Objective. To systematize and analyze relevant procedural aspects of tooth autotransplantation associated with its’ clinical success.</p> <p>Materials and Methods. A comprehensive search strategy was realized through databases PubMed ( and Cochrane Library (, and also via Google Scholar ( search engine to expand possibilities for targeted publications identification. Primary extraction of the targeted studies was provided by their title and abstract. The criteria for eligibility included publications with described original practical and theoretical aspects regarding tooth autotransplantation procedure, while publications with repetitive information or non-sufficiently argumented/non evidence based statements were excluded from further analysis.</p> <p>Results. The final number of eligible studies for analysis was 82 publications with adequate reporting of outcomes associated with present research objective. Out of this number 8 were presented in the form of systematic reviews, 3 in the form of literature reviews, while all others were presented in forms of case reports, case series, protocols, recommendations, follow-ups, experimental and clinical studies.</p> <p>Conclusion. Correct surgical manipulations, which should be as atraumatic as possible to preserve the periodontal ligament of the transplanted tooth, is a key of autotransplantation successful outcome. The success of the treatment is also related with the stage of root development. In cases of transplanting the teeth with complete root development endodontic treatment should be performed approximately in 2 weeks after primary intervention.</p> Stanislav Heranin Copyright (c) 2022 The Author(s) 2022-10-01 2022-10-01 1 1 5 19 10.56569/UDJ.1.1.2022.5-19 Demirjian’s dental age estimation accuracy among Ukrainian. Transcarpathian children sample: pilot study <p>Background. Number of forensic methods have been proposed for dental age estimation, while parameter of dental age itself is demonstrating a high level of correspondence with chronological age. Analysis of available literature revealed deŢciency of studies regarding applicability of using Demirjian’s age estimation technique among Ukrainian samples for forensic purpose.</p> <p>Objective. To evaluate accuracy of original Demirjian’s dental age estimation method amongsamp le of Ukrainian Transcarpathian children.</p> <p>Materials and Methods. Study was organized as retrospective by the design based on the analysis of 276 digital panoramic X-ray images obtained from the patients of University Dental Clinic aged 6.0-15.99 years old. Dental age estimation was held by the originally proposed Demirjian’s technique.</p> <p>Results. Dental age estimation using Demirjian’s technique provoked overestimation effect on 0.43 years among patients aged 6.0-6.99 years, on 0.49 years among patients aged 7.0-7.99 years, on 0.47 years among patients aged 8.0-8.99 years, on 0.55 years among patients aged 9.0-9.99 years, on 0.51 years among patients aged 10.0-10.99 years, on 0.55 years among patients aged 11.0-11.99 years, on 0.44 years among patients aged 12.0-12.99 years, on 0.45 years among patients aged 13.0-13.99 years, on 0.54 years among patients aged 14.0-14.99 years, on 0.58 years among patients aged 15.0-15.99 years.</p> <p>Conclusion. Demirjian’s dental age estimation technique may be used for forensic purposes among population of children from Ukrainian Transcarpathia, if accuracy of other available dental age estimation methods would not be validated till the moment of needed forensic investigation.</p> Myroslav Goncharuk-Khomyn Wayne Hirschowitz Sigrid Kvaal Alessandro Cavalcanti Yasemin Yavuz Copyright (c) 2022 The Author(s) 2022-10-01 2022-10-01 1 1 20 26 10.56569/UDJ.1.1.2022.20-26 Clinical aspects of tooth autotransplantation and post-endodontic restoration of autrotransplanted tooth: case-based literature review <p>Introduction. Tooth autotransplantation allows to maintain a vital status of periodontal ligament, which supports the preservation of the alveolar bone volume, better conservation of the interdental papilla and the possibility of dental movement through orthodontic forces. It has been shown that longevity and prognosis of autotransplanted teeth are comparable with those of dental implants.</p> <p>Objective. To discuss major practically-oriented aspects regarding tooth autotransplantation operation including further post-endodontic restoration based on presented clinical case.</p> <p>Materials and Methods. A bibliographic search was conducted in April 2022 by the using MESH terms equivalent to the keywords “tooth” and “autotransplantation” within the Cochrane Library and PubMed database with the aim to identify publications related with practical aspects of tooth autotransplantation presented in clinical case. Data extraction during content-analysis of selected publications was provided selectively in terms to represent the most practically valuable information regarding tooth autotransplantation operation, principles of tooth autotransplantation surgery and further post-endodontic restoration of autotransplanted tooth taking into account aspects highlighted in present clinical case.</p> <p>Results. Due to the provided literature review it was highlighted that success rate of tooth autotransplantation is highly inţuenced by such factors as the stage of root development, morphology of the tooth, selected surgical procedure, time of extraoral exposure of donor tooth, shape of the recipient socket, vascularity of the recipient site, and the vitality of the periodontal ligament cells, impact of which was considered during presented clinical case.</p> <p>Conclusions. Present clinical case report with accompanied literature review arguments the clinical perspective of tooth autotransplantation procedure as valuable treatment option, and highlights major practically-oriented aspects regarding tooth autotransplantation operation including further post-endodontic restoration of donor tooth. Synergy of tooth autotransplantation and post-endodontic restoration protocols in the hands of an experienced doctor who is ready to carefully follow the scientiŢc evidence-based protocol associated with successful outcome of provided treatment.</p> Igor Noenko Kostyantyn Kostura Olexander Khodakov Copyright (c) 2022 The Author(s) 2022-10-01 2022-10-01 1 1 27 36 10.56569/UDJ.1.1.2022.27-36 Treatment options for dens in dente: state-of-art literature review <p>Background. Dens in dente represents developmental anomaly of tooth structure, characterized with different depth of invagination lined with either enamel or cementum, and associated with different clinical and roentgenological features.</p> <p>Objective. To methodize available treatment options for dens invaginatus in systematic manner and analyze suitability of such for different clinical scenarios.</p> <p>Materials and Methods. Aggregation of data regarding treatment options for dens invaginatus cases was provided through literature search within Pubmed Central and PubMed databases. Literature review was provided in accordance to the available guidelines.</p> <p>Results. Provided literature review helped to establish four main strategies of treating teeth with present dens invaginatus anomaly:<br>1) preventive treatment (with no endodontic intervention);<br>2) preventive treatment (with endodontic intervention only in invaginated canal);<br>3) treatment of dens invaginatus-associated complications (with endodontic treatment of original and invaginated canals);<br>4) complex treatment of dens invaginatus-associated complications, which includes not only root canal treatment, but also periodontal treatment and other potential treatment options, such as extraction.</p> <p>Conclusion. Dens invaginatus represents several clinical challenges during the treatment related with type of structural anomaly due to the Oehlers classiŢcation, variability of its conŢguration, depth of invagination and its localization within coronal or root portion of tooth, proximity to the pulp and pretreatment pulp and periodontium vitality conditions, while also with periapical status in means of apex size and thickness of root residual walls.</p> Volodymyr Fedak Copyright (c) 2022 The Author(s) 2022-10-01 2022-10-01 1 1 37 42 10.56569/UDJ.1.1.2022.37-42 Clinical experience for Porphyromonas gingivalis detection in the cerebrospinal ţuid of patients with inţammatory diseases of the central nervous system and periodontitis <p>Background. Porphyromonas. gingivalis is one of the most aggressive periodontopathogens causing periodontitis. Present scientific evidence proves the possibility of the influence of P.gingivalis on the pathogenesis of inflammatory diseases of the central nervous system.</p> <p>Objective. To verify frequency of P.gingivalis detection within the cerebrospinal fluid of patients affected by various types of CNS inflammatory diseases.</p> <p>Material and Methods. Cerebrospinal fluid of 36 patients, aged 18 to 79 years, with various infectious diseases of the central nervous system was analyzed during two years of study. Real-time PCR technique was used for P.gingivalis detection.</p> <p>Results: 13 patients out of 36 demonstrated the presence of P.gingivalis within cerebrospinal fluid. 4 of them were diagnosed with meningoencephalitis, 3 patients had fever of unknown origin, at that one of them had Parkinson's disease, 3 patients had acute disseminated unspecified demyelination, 1 had multiple sclerosis, 1 had unspecified cerebrovascular disease. 77% of the total number of patients in whom P.gingivalis was detected in the cerebrospinal fluid, also were diagnosed with periodontitis.</p> <p>Conclusions: Based on the data obtained, it can be assumed that P.gingivalis plays a significant role in the pathogenesis of inflammatory diseases of the central nervous system. Sanitation of the oral cavity and timely treatment of periodontal diseases can significantly reduce the incidence of inflammatory diseases of the central nervous system.</p> Tamara Volinska Olga Bondarchuk Viktoriya Horbenko Copyright (c) 2022 The Author(s) 2022-10-01 2022-10-01 1 1 43 48 10.56569/UDJ.1.1.2022.43-48 New analysis and classiŢcation of Angle’s class II malocclusion varieties during the mixed dentition period <p>Introduction: It is well known that Angle's class II malocclusion is the most common of all occlusal pathology. The prevalence of this malocclusion among children remains at 35-43% and tends to increase. Class II malocclusion negatively affects not only the functions of chewing, swallowing, breathing and speech, but also life in general, especially for children and adolescents. An analysis of modern scientific papers shows that variability of class II malocclusion is insufficiently covered in published classifications.</p> <p>Objectives: To develop a classification of Angle's class II malocclusion forms based on the determination of angular and linear cephalometric parameters for children aged 7 to 12 years old and to analyze of their prevalence in Ukraine.</p> <p>Material and Methods: 138 lateral cephalometric radiographs of children aged 7 to 12 years old with Angle's class II malocclusion were selected. Cephalometric analysis by Perillo-ID method was performed on all 138 radiographs. 68 lateral cephalometric radiographs were selected for further study.</p> <p>Results: Cephalometric analysis by Perillo-ID method on 68 lateral cephalograms in children aged 7-12 years old showed a wide range of variability forms of Angle's class II malocclusion. The results of 7 angular and 4 linear parameters allowed to create a classification of Angle's class II malocclusion forms and sizes, taking into consideration the position of the lower jaw in children during the mixed dentition period.</p> <p>Conclusions: Authors modified Perillo's cephalometric analysis, which allowed to create a detailed classification of Angle's class II malocclusion forms for children during the mixed dentition period. The new classification will allow to clearly differentiate the etiology of malocclusion, to differentiate the true mandible underdevelopment from its retroposition or rotation.</p> Larysa Dakhno Kateryna Ivanova Copyright (c) 2022 The Author(s) 2022-10-01 2022-10-01 1 1 49 55 10.56569/UDJ.1.1.2022.49-55