Ambato, Ecuador
Introduction: Dental autotransplantation has proven to be an effective alternative to dental implants, especially in young patients with good periodontal health, by offering functional and aesthetic solutions. This study has analyzed the feasibility of autotransplantation in six patients with various clinical conditions, comparing the effectiveness with that of dental implants in terms of functionality, periodontal health and long-term success.Methods: A qualitative-quantitative approach that combined literature review and a quasi-experimental design was used to evaluate the influence of several factors on healing and tissue response. The Entropy and COPRAS methods were applied to determine the relative importance of factors and classify clinical cases, identifying the most impactful ones and prioritizing those that required urgent interventions.Results: Autotransplants achieved a high success rate, with good periodontal integration and functionality in most cases. However, healing showed variability, highlighting the influence of individual factors such as periapical infection and smoking in case 5, and severe malocclusion in case 4. These factors required additional interventions to ensure long-term stability and functionality.Conclusions: Dental autotransplantation has been effective in young patients with good periodontal health, as long as meticulous planning and correct selection of the donor tooth is carried out. Variability in healing accentuates the need for personalized approaches and interdisciplinary collaboration, as well as the exploration of technological innovations to optimize the technique
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