Abstract
BACKGROUND: Tooth auto-transplantation has been successfully performed for over 50 years and yet the procedure has still to receive the widespread acceptance that it deserves. AIM: This study demonstrates the numerous clinical situations in which auto-transplantation can be used in order to give a child or adolescent an excellent biological long-term replacement. INDICATIONS: Seven cases are presented that demonstrated the versatility of auto-transplantation in a range of clinical situations. The aim was to show that this technique is not only useful for replacing teeth that are lost due to trauma but has applications for the replacement of teeth that are developmentally missing, or teeth with otherwise poor long-term prognosis. TREATMENT: All cases presented were managed with autotransplatation and included patients with hypodontia, trauma, dilacerated incisors, ankylosis, failed endodontic treatment and aesthetic management of a patient with cleft lip and palate. FOLLOW-UP: Medium and long-term outcomes were demonstrated. CONCLUSIONS: Auto-transplantation provides an excellent outcome in a growing child with the advantage that it is a biologically compatible method of tooth replacement, which promotes pulp and periodontal healing and enables orthodontic movement if necessary.
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References
Andreasen JO, Paulsen HU, Yu Z, Bayer T. & Schwartz O. A long-term study of 370 autotransplanted premolars. Part II. Tooth survival and pulp healing subsequent to transplantation. Eur J Orthod 1990; 12:14–24.
Czochrowska EM, Stenvik A, Album B, Zachrisson BU. Autotransplantation of premolars to replace maxillary incisors: a comparison with natural incisors. Am J Orthod Dentofacial Orthop 2000; 118:592–600.
Czochrowska EM, Stenvik A, Bjercke B, Zachrisson BU. Outcome of tooth transplantation: survival and success rates 17–41 years posttreatment. Am J Orthod Dentofacial Orthop 2002:121:110–119.
Day PF, Kindelan SA, Spencer JR, Kindelan JD, Duggal MS. Dental trauma: part 2. Managing poor prognosis anterior teeth—treatment options for the subsequent space in a growing patient. J Orthod 2008; 35:143–155.
Jonsson T, Sigurdsson TJ. Autotransplantation of premolars to premolar sites. A long-term follow-up study of 40 consecutive patients. Am J Orthod Dentofacial Orthop 2004; 125:668–675.
Kindelan SA, Day PF, Kindelan JD, Spencer JR, Duggal, MS. Dental trauma: an overview of its influence on the management of orthodontic treatment. Part 1. J Orthod 2008; 35:68–78.
Lima JP, Neto JJ, Beltrao HC, Borges FM, Nogueira RL, De Araujo Lima AD. Esthetic considerations for reshaping of autotransplanted premolars replacing maxillary central incisors: a case report. Dent Traumatol 2009; 25:631–635.
Paulsen HU, Andreasen JO.. Eruption of premolars subsequent to autotransplantation. A longitudinal radiographic study. Eur J Orthod 1998; 20: 45–55.
Sedentexct. Cone Beam CT for Dental and Maxillofacial Radiology. Justification and referral criteria. SEDENTEXCT 2009.
Slagsvold O, Bjercke B. Indications for autotransplantation in cases of missing premolars. Am J Orthod 1978; 74:241–257.
Vilhjalmsson VH, Knudsen GC, Grung B, Bardsen A. Dental auto-transplantation to anterior maxillary sites. Dent Traumatol 2011; 27: 23–29.
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Waldon, K., Barber, S.K., Spencer, R.J. et al. Indications for the use of auto-transplantation of teeth in the child and adolescent. Eur Arch Paediatr Dent 13, 210–216 (2012). https://doi.org/10.1007/BF03262872
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DOI: https://doi.org/10.1007/BF03262872