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This systematic review and meta-analysis aimed to investigate how clinical outcomes of autotransplanted teeth evolve over time and the principal reasons for extraction.Methods: Studies were identified from five databases. A meta-analysis was performed to estimate the survival rates in the short-term (1 to \u22644 years), medium-term (&gt;4 to \u22648 years), and long-term (&gt;8 years) periods. Subgroup analysis was performed for age and root development. Risks of bias, reasons for extraction, and patient-reported outcome measures were evaluated.Results: Of the 3,941 reports initially identified, 46 were included. The estimated short-, medium-, and long-term survival rates were 96.31% (95% confidence interval [CI], 94.80\u201397.82), 88.23% (95% CI, 85.59\u201390.87), and 84.80% (95% CI, 76.70\u2013 92.91), respectively. There were no significant differences in outcomes between age and root development groups. The most common reason for tooth loss was root resorption. High patient satisfaction rates were reported.Conclusions: Autotransplanted teeth exhibit high survival rates in the short- to medium-term. Minimizing root surface damage and excluding pulpal contaminants may promote longevity. 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